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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
PubMed

Insights

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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