Managing Meckel diverticulum: To resect or not resect?. Issue 10 (October 2020)

• Record Type: Journal Article
• Authors: Yorkgitis, Brian K.; Devecki, Kalli
• Is Part Of: JAAPA. Volume 33:Issue 10(2020)
• Publication Date: 2020-10
• Subjects: Meckel diverticulum -- gastrointestinal -- abdominal pain -- small bowel obstruction -- incidental -- congenital; Medicine -- Periodicals; Physicians' assistants -- Periodicals; Medicine -- Periodicals; Physician Assistants -- Periodicals; Medicine; Physicians' assistants; Periodicals; 610.7372069
• DOI: 10.1097/01.JAA.0000697244.35582.cb
• Languages: English
• ISSNs: 0893-7400

Abstract

Abstract : ABSTRACT: The most common causes of small bowel obstruction are hernias and adhesive disease. Other causes include malignancy, inflammation, infection, and Meckel diverticulum with an omphalomesenteric ligament. This article describes a patient who presented to the ED with abdominal pain, nausea, and vomiting. A CT scan revealed dilated loops of bowel with an adjacent air-filled structure, possibly related to an internal hernia. Meckel diverticulum was discovered on diagnostic laparoscopy and a mesodiverticular band was lysed; the diverticulum was left in situ. The patient did well without further invention needed.