Our opinion is that a total cystopericystectomy with omentoplastics, which is a method of choice, decreases hospitalization period and complications.
Introduction: Meckel's diverticulum is a congenital anomaly of the small intestine and remnant of omphalomesenteric duct. It can be found in about 2% of the population. The diagnosis of Meckel's diverticulum is mostly established during surgical intervention. Case report: Our research is based on the 22 years old female patient, who has been admitted to the clinic with all the features of acute appendicitis. After the completion of 20 hours of observation, intestinal permanence-ileus, was diagnosed. The patient was operated after a brief reanimation and anesthetic preparation. During the surgical intervention, we have found a normal appendix, without signs of inflammation. Further exploration of the abdomen fortified Meckel's diverticulum at a distance of 75 cm from the ileocecal valve of the ileum. Diverticulum was completely filled in with peanuts, and wreathed around its axis, causing the ileus. We have performed diverticulectomy and appendectomy. The patient had a rapid and successful postoperative course. Conclusion: Apart from the acute appendicitis, when patient complains on pains in ileocecal region, Meckel's diverticulum should also be taken into a consideration.
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