Gangrenous Meckel’s diverticulum causing acute intestinal obstruction in an adult

Sharma, Raj Kumar; Jain, Vir Kumar; Kamboj, Sangeeta; Murari, Krishna

doi:10.1111/j.1445-2197.2008.04739.x

Cited by 13 publications

(8 citation statements)

References 2 publications

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“…(d) Entrapment of small bowel beneath the blood supply of the diverticulum, also known as a mesodiverticular band (e) Stricture secondary to chronic diverticulitis [ 4 ] (f) Meckel's diverticulum lithiasis – The formation of stone in Meckel's diverticulum can cause small bowel obstruction by two mechanisms; firstly, it can cause impaction in the terminal ileum after its extrusion from the diverticulum and secondly by promoting local inflammation of the diverticulum and intussusception [ 27 , 28 ] (g) Band extending between the diverticulum and the base of the mesentery, forming a loop in which a part of ileum may get stuck causing obstruction [ 29 ]. In our experiences we encountered one such case in which this band forming mechanism was associated with another rare complication of gangrenous change[ 30 ]. (h) Other mechanisms involve rare causes of obstruction like tumors (Lipomas, Carcinoid tumors and others), impacted meconium in neonates causing inflammatory adhesions of Meckel's diverticulum to surrounding structures leading to volvulus [ 31 ], cecal volvulus around the band extending from Meckel's diverticulum to umbilicus [ 32 ], gall stone ileus [ 33 ], obstruction secondary to phytobezoar formation in Meckel's diverticulum [ 22 ].…”

Section: Complications and Their Managementsmentioning

confidence: 99%

Emergency surgery for Meckel's diverticulum

2008

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The current work attempts to highlight the various life threatening complications of Meckel's diverticulum and to present the surgical strategies used in the emergency conditions so far in the form of a review of the works presented in the literature. Our aim behind this presentation is to cover the possible indications, methods, their complications and the outcome of these surgical techniques. For this, we made an extensive literature search using Google and Pubmed with the words-"Meckel's diverticulum", "Complications", "Management" and "Emergency surgery". All the relevant articles containing the surgical aspects of symptomatic Meckel's diverticulum till May 2008 were collected and analyzed. Meckel's diverticulum is the remains of the prenatal yolkstalk (Vitellointestinal duct). Although it generally remains silent but life threatening complications may arise making it an important structure for having a detailed knowledge of its anatomical and pathophysiological properties to deal with such complications.

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Section: Complications and Their Managementsmentioning

confidence: 99%

Emergency surgery for Meckel's diverticulum

2008

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“…Gastrointestinal bleeding is the major clinical finding in children with a symptomatic Meckel's diverticulum. The bleeding incidence rate for this complication has been described as high as 50% [11]. Usually, ectopic tissue, mainly of gastric and pancreatic origin, is the bleeding reason.…”

Section: Discussionmentioning

confidence: 99%

“…Meckel's diverticulum related intestinal obstruction is the most common finding in adults and the second common in children [17]. Stone formation, (inflammatory) tumors or invagination (ileo-ileal intussusception) can result in intestinal obstruction [11,18]. Also, Meckel's diverticulum lithiasis, quite frequently seen, is likely to promote diverticulum inflammation [11].…”

Section: Discussionmentioning

confidence: 99%

An Unusual Cause of Meckels Diverticulum Enterolithiasis Imitating a Pelvic Teratoma-What to do in Case of Unexpected Meckels Diverticulum?

Moulla¹,

Handzel²,

Einenkel³

et al. 2019

J Surg Res

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A 47-year-old woman presented with a history of 4 weeks of recurring pain in the right lower abdomen.Transvaginal ultrasound scan showed an irregular shaped solid mass of 45 × 26 × 45 mm in the right ovarian fossa with increased perfusion. CT-scan suspected an ovarian tumor with evidence of teeth in terms of a teratoma in the right adnexal area. Finally, our findings were suggestive of an ovarian teratoma and the decision for laparoscopy was made. Intraoperatively both ovaries were unsuspicious but a Meckel's diverticulum with enterolithiasis was found in the right pelvis and removed. Meckel's diverticulum is present in 1-2% of the population and here we will discuss general removel recommandations.

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“…[13456] We expected this combination of gangrenous Meckel's due to axial torsion and intestinal obstruction to be extremely rare, but a literature search on PubMed could unearth three similar reports. [238] In a study by Cartanese et al . [3] reported that the cause for obstruction was a peritoneal band arising from the tip of the diverticulum attaching to the surrounding mesentery.…”

Section: Discussionmentioning

confidence: 99%

Axial torsion of gangrenous Meckel′s diverticulum causing small bowel obstruction

Sasikumar¹,

Noonavath²,

Sreenath³

et al. 2013

J Surg Tech Case Report

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Meckel's diverticulum (MD) is a commonly encountered congenital anomaly of the small intestine. We report an extremely unusual case of an axially torted, gangrenous MD presenting as acute intestinal obstruction. A 26-year-old male patient presented to our emergency department with 3 days history of abdominal pain, distention and bilious vomiting. On laparotomy, there was minimal hemorrhagic fluid localized in right iliac fossa and small bowel loops were dilated. A MD was seen attached to the mesentery of nonadjacent small bowel by a peritoneal band. The diverticulum was axially torted and gangrenous. In addition, there was compression of ileum by the peritoneal band resulting in intestinal obstruction, which was relieved on dividing the band. Resection and anastomosis of the small bowel including the MD was performed. We hereby report a rare and unusual complication of a MD. Although treatment outcome is generally good, pre-operative diagnosis is often difficult.

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Gangrenous Meckel’s diverticulum causing acute intestinal obstruction in an adult

Cited by 13 publications

References 2 publications

Emergency surgery for Meckel's diverticulum

Emergency surgery for Meckel's diverticulum

An Unusual Cause of Meckels Diverticulum Enterolithiasis Imitating a Pelvic Teratoma-What to do in Case of Unexpected Meckels Diverticulum?

Axial torsion of gangrenous Meckel′s diverticulum causing small bowel obstruction

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