Introduction: Idiopathic localized dilation of the ileum (ILDI) is rare in adults, debuting with nonspecific symptomatology. Case report: a 36-year-old male patient with no past surgical history with intense abdominal pain and acute abdomen upon physical examination and CT imaging evidence of intestinal occlusion. Initial laparoscopic approach, a 30 cm terminal ileum mass with multiple inflammatory mesenteric nodes was found and resected. Post-surgically, further laboratory evaluations failed to justify any other diagnosis rather than ILDI, excluding histopathologic and laboratory compatible with abdominal cocoon syndrome. The patient was discharged without complications and no recurrence of ILDI. Conclusions: Idiopathic localized dilation of the ileum is a rare pathology specially on adults, in children is often associated to other mid-gut congenital anomalies, gastrointestinal blood loss, with or without chronic anemia, and small-bowel obstruction, ILDI should be considered as a exclusion differential diagnose of unrelated intestinal obstruction.

No abstract

Meckel’s diverticulum is the most common intestinal congenital defect, its prevalence is 0.2%–4.0% and it occurs more commonly in children younger than 2-year old with intestinal bleeding and abdominal pain. Perforation in the elderly is very rare with no more than 35 articles reported worldwide. Here we report the case of a 62-year-old man who was admitted to hospital with a history of acute abdominal pain with a 20-day onset. The patient was treated with laparotomy and 30 cm ileal resection was performed for an 8×5 cm perforated ileum tumour at 50 from ileocecal valve with a side-to-side mechanical anastomosis for reconstruction. Having morbidity Clavien-Dindo scale I in postsurgical and good outcome in 6-month follow-up. Meckel’s diverticulum is an infrequent pathology in paediatric and even rarer in adult population, however, it is always important to keep in mind how to act when is seen either as a finding or as a complication.

No abstract

No abstract