Phytobezoar in Meckel's diverticulum: A rare cause of small bowel obstruction

Bini, Roberto; F, Quiriconi; Tello, A. García; Fusca, Marcella; Loddo, Franca; Leli, R; Addeo, Alfredo

doi:10.1016/j.ijscr.2012.01.006

Cited by 5 publications

(4 citation statements)

References 21 publications

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“…The mass could be outlined by the bowel wall and present characteristic internal gas bubbles. CT scan is useful to localize the bezoar as well as to identify complications like perforation and obstruction [10].…”

Section: Discussionmentioning

confidence: 99%

Phytobezoar impaction in a Meckel’s diverticulum; a rare cause of bowel obstruction: Case report and review of literature

Hussein

Khammas

Al-Ozaibi

et al. 2017

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Phytobezoar impaction in a Meckel’s diverticulum; a rare cause of bowel obstruction: Case report and review of literature

Hussein

Khammas

Al-Ozaibi

et al. 2017

International Journal of Surgery Case Reports

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“…Bini et al reports a rare case of phytobezoar in a meckels diverticulum causing bowel obstruction. [11] The management of Meckels diverticulum presents substantial debate till date. In an extensive study at Mayo Clinic, Park et al advocated the removal of incidentally found asymptomatic Meckels diverticulum in male sex, less than 50 years age group or which is more than 2cm long, especially if having histologically abnormal tissue.…”

Section: Discussionmentioning

confidence: 99%

An Interesting Case of Meckels Diverticulum Causing Intestinal Obstruction

Biswas

Rathva

Amin

2022

PIJR

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Meckels diverticulum is a persistent remnant of the vitellointestinal duct, and is one the most commonly diagnosed congenital surgical conditions. It occurs in 2% of the population, is usually two inches long, two feet proximal from the ileocaecal junction and in approximately 20% cases it is seen to contain heterotropic epithelium. Its most common clinical presentations are usually in the form of haemorrhage, diverticulitis and rarely may complicate causing intestinal obstruction. We hereby present one such case of intestinal obstruction in a young adult male, secondary to small bowel volvulus around a vitellointestinal band extending from a meckels diverticulum to the anterior abdominal wall. The presentation and management of this case, which had presented to the Emergency Department of our hospital, is elaborated in detail.

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“…It is found in about 2% of the population. However, it rarely gives rise to symptoms and its discovery is usually accidental [11]. …”

Section: Discussionmentioning

confidence: 99%

Mesodiverticular Band of Meckel's Diverticulum as a Rare Cause of Small Bowel Obstruction: Case Report and Review of the Literature

et al. 2013

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Background: Meckel's diverticulum, which was first described by Johann Friedrich Meckel, is a congenital anomaly. It results from incomplete obliteration of the most proximal portion of the vitelline or omphalomesenteric duct. Its prevalence is ranging from 1 to 4% of the population. The lifetime risk of complications is estimated at 4-6%. One of them is intestinal obstruction which is a more common presentation among adults. Mesodiverticular band, as presented in this case report, is a rare cause of small bowel obstruction in Meckel's diverticulum. Case Report: We report the case of a 17-year-old male who had intestinal obstruction caused by a mesodiverticular band of Meckel's diverticulum. He presented with severe abdominal pain, nausea, and vomiting. The established diagnosis was mechanical intestinal obstruction. Laparotomy revealed an internal herniation and obstruction caused by a mesodiverticular band of Meckel's diverticulum. There was no evidence of necrosis or ischemia. The mesodiverticular band was released from the ileal mesentery and the Meckel's diverticulum was resected. The postoperative period was uneventful and the patient was discharged after 6 days. Conclusion: The incidence of an internal hernia caused by a mesodiverticular band of Meckel's diverticulum is rare. It may be overlooked in the case of intestinal obstruction because of nonspecific symptoms. Delay in the diagnosis can lead to significant morbidity and mortality. In the case of small bowel obstruction, Meckel's diverticulum should therefore be kept in mind.

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Phytobezoar in Meckel's diverticulum: A rare cause of small bowel obstruction

Abstract: The conventional x rays studies were inconclusive whereas abdominal contrast enhanced CT led to a definitive diagnosis. Explorative laparotomy or laparoscopy is mandatory in these cases.

Cited by 5 publications

References 21 publications

Phytobezoar impaction in a Meckel’s diverticulum; a rare cause of bowel obstruction: Case report and review of literature

Phytobezoar impaction in a Meckel’s diverticulum; a rare cause of bowel obstruction: Case report and review of literature

An Interesting Case of Meckels Diverticulum Causing Intestinal Obstruction

Mesodiverticular Band of Meckel's Diverticulum as a Rare Cause of Small Bowel Obstruction: Case Report and Review of the Literature

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