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Bezoar in Meckel's diverticulum: Case report and narrative review
Guillaume Tcheutchoua Soh1, Abdourahmane Ndong1, Adja Coumba Diallo1
1Department of Surgery, Gaston Berger University, Saint-Louis, Senegal.
International Journal of Surgery Case Reports
|March 12, 2024
Summary
Bezoars within Meckel
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Bezoars are a known cause of complications in Meckel's diverticulum.
- This study explores the association between Meckel's diverticulum and bezoars.
Observation:
- A 22-year-old patient presented with intestinal obstruction and periumbilical tenderness.
- CT revealed a hyperdense circular structure, small bowel distension, and free fluid.
- Surgical exploration identified a Meckel's diverticulum containing a calcified phytobezoar.
Findings:
- Bezoars in Meckel's diverticulum present nonspecifically, making diagnosis challenging.
- CT scans often fail to diagnose bezoars in Meckel's diverticulum.
- Diagnosis is frequently made during surgical exploration.
Implications:
- Early diagnosis and surgical intervention are crucial for managing bezoars in Meckel's diverticulum.
- The choice between laparoscopic and open surgery depends on the individual patient's condition.
- Further research may improve diagnostic accuracy for this rare condition.
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