Internal herniation beneath mesodiverticular band producing ambiguous picture in intestinal obstruction: A management dilemma

Abstract

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comInternal herniation beneath mesodiverticular band producing ambiguous picture in intestinal obstruction: A management dilemma Rakesh Chauhan, Rajesh Chaudhary, R. Dayashankar ABSTRACT Introduction: Mesodiverticular band is a rare cause of obstruction due to Meckel's diverticulum complication. However, exact incidence could not be found in literature. Obstruction as a complication of the Meckel's diverticulum is the most common presentation in adults. Case Report: We present here a case of intestinal obstruction by mesodiverticular band in a 13-year-old child with an ambiguous picture by patient clinically settling with conservative treatment but radiologically air fluid levels still persisting. Conclusion: Mesodiverticular band cannot be diagnosed preoperatively and because of the loosely entrapped loop, obstruction is not complete. So it produces difficult situation for the surgeon to take decision in favor of surgery.

Sudden Death Associated With Incarcerated Small Bowel Due to Mesodiverticular Band

“…2 Sudden death has been described in some of these cases, 1 as was seen in our case. Small bowel incarceration in a mesodiverticular band cannot usually be diagnosed specifically preoperatively, 3 which probably explains the high mortality at least in part, although a few reports describe its diagnosis by CT scan in adult patients. 4,5 In one literature review, only 6%–12% of cases were diagnosed preoperatively.…”