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Intestinal obstruction due to ligament arising from the distal end of Meckel's diverticulum: A case report

Van Chuc Dang1, Phan Ninh Tran2,3, Minh Canh Tran4

  • 1Pediatric Department, Hai Phong University of Medicine and Pharmacy Neonate Department of Haiphong Children's Hospital Hai Phong Vietnam.

Clinical Case Reports
|June 26, 2023
PubMed

Insights

A rare cause of intestinal obstruction in children is a ligament from Meckel's diverticulum. Early diagnosis using imaging, like CT scans, is crucial to prevent serious complications.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Imaging

Background:

  • Intestinal obstruction is a serious condition in children.
  • Ligamentous obstruction from Meckel's diverticulum is exceptionally rare.
  • Limited data exists on the incidence and diagnosis of this specific condition.

Observation:

  • A case of an 8-year-old boy presenting with intestinal obstruction caused by a ligament originating from Meckel's diverticulum.
  • The condition presented with asymptomatic imaging features, making preoperative diagnosis challenging.
  • Diagnostic workup included ultrasound, plain abdominal X-ray, and contrast-enhanced CT scan.

Findings:

  • The ligament arising from the apex of Meckel's diverticulum was identified as the cause of obstruction.
  • Computerized tomography scanner with contrast injection provided indirect findings crucial for preoperative diagnosis.
  • Histopathological examination confirmed the nature of the obstructing ligament.

Implications:

  • This case highlights the importance of considering rare causes of intestinal obstruction in pediatric patients.
  • Advanced imaging techniques, particularly CT scans, are vital for the early and accurate diagnosis of such conditions.
  • Prompt diagnosis and surgical intervention can prevent severe complications like bowel necrosis and perforation.
Keywords:
Hai Phong Children's HospitalMeckel's diverticulumligamentobstruction

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