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An Atypical Case of Meckel's Diverticulum with Small Bowel Obstruction: Surgical Anatomy, Embryology and Clinical
K B Keot1, M C Rajbongshi1, R Medhi1
1Department of General Surgery, Tezpur Medical College, Tezpur, Assam, India.
Abstract:
Meckel's diverticulum (MD) is the most frequent congenital anomaly of the gastrointestinal (GI) tract. Atypical presentations with life threatening complications include intestinal obstruction, intussusceptions, peritonitis, foreign body lodgement in the MD, perforated viscera etc. which require prompt diagnosis. Ectopic gastric and pancreatic tissues are found in up to half of the cases which can escalate the complications. However clinical diagnosis is not easy especially when the presentation is atypical. A high index of clinical suspicion is required to diagnose elusive MD with associated complications. Surgical resection is safe and the gold standard treatment for complicated MD. A case of Meckel's diverticulum with concomitant mesodiverticular band (MDB) in a 13 years old male child presented as intestinal obstruction to emergency department is described which was promptly managed surgically with required pre-operative investigations. The aim of this report is to make clinicians aware about a complicated MD with MDB clinically presenting as small bowel obstruction.
Insights
Meckel
Area of Science:
- Gastroenterology
- Pediatric Surgery
Background:
- Meckel's diverticulum is a common congenital gastrointestinal anomaly.
- It can present with severe, life-threatening complications requiring prompt diagnosis.
Observation:
- A 13-year-old male presented with intestinal obstruction.
- The obstruction was caused by a Meckel's diverticulum with a mesodiverticular band.
Findings:
- Clinical diagnosis of complicated Meckel's diverticulum can be challenging, especially with atypical presentations.
- Surgical resection is the definitive treatment for complicated Meckel's diverticulum.
Implications:
- This case highlights the importance of considering Meckel's diverticulum in pediatric intestinal obstruction.
- Increased clinical suspicion is crucial for diagnosing elusive Meckel's diverticulum with complications.
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