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A new hernia: Meckel's diverticulum within a parastomal hernia
Mina Sarofim1,2,3, Amir Ashrafizadeh1,3, Shahrir Kabir1,3
1Department of Colorectal Surgery, Royal North Shore Hospital, Sydney, Australia.
Journal of Surgical Case Reports
|November 3, 2022
Summary
A Meckel's diverticulum, a full-thickness bowel outpouching, can occur within a parastomal hernia. Surgical resection may prevent complications like bleeding or obstruction.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Meckel's diverticulum is a congenital anomaly of the small intestine.
- Littre's hernia is a rare complication where Meckel's diverticulum protrudes through a defect, commonly inguinal or femoral.
Observation:
- This report details the first documented instance of Meckel's diverticulum found within a parastomal hernia.
- The diverticulum was an incidental finding during surgical intervention.
Findings:
- Meckel's diverticulum can present within a parastomal hernia, a previously undescribed location.
- The presence of Meckel's diverticulum in this context poses risks for future complications.
Implications:
- Consider surgical resection of Meckel's diverticulum found in parastomal hernias.
- Resection can mitigate risks of bleeding, intestinal obstruction, and perforation associated with the diverticulum.
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