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Meckel's diverticulum band adhesion causing internal hernia, small bowel obstruction complicated by peritonitis and

Jinli Su1, Hailong Zhang1

  • 1Maternal and Child Health Hospital of Inner Mongolia Autonomous Region, Inner Mongolia Autonomous Region, Hohhot, China.

Frontiers in Pediatrics
|August 4, 2026
PubMed

Insights

Meckel's diverticulum (MD) can cause rare complications like internal hernias. This case highlights a pediatric intestinal obstruction due to MD band adhesion, peritonitis, and ascites, emphasizing diagnostic challenges.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Anomalies

Background:

  • Meckel's diverticulum (MD) is a common congenital gastrointestinal anomaly.
  • While often asymptomatic, MD can present with complications like bleeding or obstruction in children.
  • Complications can lead to acute abdomen, ischemia, or necrosis if not managed promptly.

Purpose of the Study:

  • To report a rare case of Meckel's diverticulum (MD) causing internal hernia, small bowel obstruction, peritonitis, and massive ascites.
  • To highlight the diagnostic challenges associated with MD complications, particularly in pediatric intestinal obstruction.
  • To broaden the differential diagnosis for pediatric intestinal obstruction.

Main Methods:

  • Case report detailing a rare presentation of Meckel's diverticulum.
  • Surgical intervention including resection of MD, partial ileal resection, and anastomosis.
  • Radiologic and clinical evaluation for diagnosis of internal hernia and obstruction.

Main Results:

  • A case of Meckel's diverticulum (MD) complicated by band adhesion leading to internal hernia and small bowel obstruction was successfully managed.
  • The condition was associated with peritonitis and massive ascites, presenting as an acute abdomen.
  • Surgical resection and anastomosis resulted in a satisfactory postoperative recovery.

Conclusions:

  • Internal hernia caused by Meckel's diverticulum (MD) band adhesion with peritonitis and massive ascites is an exceptionally rare pediatric presentation.
  • This case underscores the importance of considering MD in the differential diagnosis of pediatric intestinal obstruction, even without prior surgery.
  • Timely diagnosis and surgical management are crucial to prevent severe complications such as bowel ischemia or necrosis.

Keywords:
Meckel's diverticulumcase reportchildrenextremely raregastrointestinal tract

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