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Non-Meckel Ileal Diverticulum Incarcerated Within a Strangulated Inguinal Hernia: A Case Report
Baraa Chkir1, Ammara Salam2, Shua Haq3
1Urology, Royal Albert Edward Infirmary, Wigan, GBR.
Cureus
|January 13, 2025
Summary
This case report details a rare instance of an incarcerated non-Meckel small bowel diverticulum within an inguinal hernia sac causing obstruction in an elderly male. Prompt laparoscopic repair ensured a successful outcome and uneventful recovery.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Abdominal Surgery
Background:
- Non-Meckel small bowel diverticula are uncommon, with ileal diverticula being particularly rare.
- Incarceration of these diverticula within an inguinal hernia sac presents a diagnostic and surgical challenge.
Observation:
- An 80-year-old male presented with symptoms of bowel obstruction and an irreducible groin lump, suggestive of a strangulated inguinal hernia.
- Contrast-enhanced computed tomography confirmed small bowel obstruction at the hernia neck.
Findings:
- Laparoscopic exploration revealed an incarcerated non-Meckel ileal diverticulum within the inguinal hernia sac.
- The diverticulum was reduced, and the hernia was repaired using mesh, with the small bowel segment found to be bruised but viable.
Implications:
- This case underscores the importance of considering rare causes of small bowel obstruction in elderly patients with hernias.
- Prompt diagnosis via imaging and timely surgical intervention are critical to prevent complications like bowel ischemia.
- Laparoscopic repair offers a minimally invasive approach for managing such complex hernia cases, promoting faster recovery.
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