A rare case of intestinal obstruction caused by Meckel's diverticulum band. (June 2022)

• Record Type: Journal Article
• Authors: Alzarea, Abdullah; Aljohani, Alaa; Qabani, Hanan; Alzahrani, Ali; Sairafi, Rami
• Is Part Of: Annals of medicine and surgery. Volume 78(2022)
• Publication Date: 2022-06
• Subjects: Intestinal obstruction -- Meckel's diverticulum; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2022.103807
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: Introduction: and Importance: Meckel's diverticulum band is an uncommon cause of intestinal obstruction in adults. Case presentation: We report the case of a 57-year-old diabetic and hypertensive male who presented with sudden onset of vomiting and abdominal pain. Initial laboratory and imaging investigations, including an abdominal X-ray and computed tomography scan, were suggestive of an intestinal obstruction; however, these were not helpful in assigning a presumptive cause. A laparoscopic exploration was offered after a repeated abdominal X-ray showed an air-fluid level. Intraoperative findings revealed an ischemic closed loop obstructed by a fibrous band of Meckel's diverticulum. Resection and anastomosis of the bowel was performed, and the patient was discharged on day 3 post-operative with no complications. Clinical discussion: Surgical resection performed by open or laparoscopic approach is the recommended treatment for patients with symptomatic Meckel's diverticulum. Generally, a wedge resection of the Meckel's diverticulum is performed, and occasionally part of the ileum is resected by end-to-end anastomosis, as was the case in our patient. Conclusion: We believe early surgical intervention is crucial for a favorable outcome. Thus, surgeons should consider complicated Meckel's diverticulum in patients presenting with signs and symptoms of small bowel obstruction. Highlights: Intestinal Obstruction Caused by Meckel's Diverticulum Band are extremely rare in adult. Obstruction Caused by Meckel's Diverticulum Band may present a challenging clinical diagnosis. Surgical resection remains the treatment of choice and plays a potentially curative role.