Meckel's diverticulum mesentery along with its band forming a hernial sac: A rare case of internal herniation

International Journal of Surgery Case Reports
Paras K PandoveVijay K Sharda

Abstract

Meckel's diverticulum is the most common congenital gastrointestinal anomaly. However, only 2% of cases are symptomatic. It can cause intestinal obstruction by various mechanisms as volvulus, adhesions, Littre's hernia, intussusception. An unusual case of internal herniation of small bowel loops into complete hernia sac formed by unusual mesentery of Meckel's diverticulum which was present upto the adhesive band, extending from tip of the Meckel's diverticulum to the adjacent mesentery of small intestine leading to small bowel obstruction (SBO). Diverticulectomy with resection of adjacent ileum with ileo-ileal anastomosis was done. Internal herniation by MD leading to SBO is an extremely rare complication. In literature, cases of internal hernia through mesentry of Meckel's diverticulum, through mesodiverticular band, adhesion of inflamed end of MD to corresponding base of mesentry, fibrous cord extending upto umblical wall have been reported but in our case, patient had both adhesion band along with internal herniation into sac formed by unusual mesentry of the meckel's diverticulum and the adhesion band. Preoperative diagnosis is often difficult with only 6-12% of cases diagnosed correctly. Surgical intervention is indicated ...Continue Reading

References

Apr 1, 1970·Radiology·M K DalinkaR D Wolfe
May 7, 2014·The Indian Journal of Surgery·Y NarjisB Finech

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Citations

Jun 4, 2015·International Journal of Surgery Case Reports·Raimkhanov Aidar DuysenovichZhagniyev Zhandos Yermukhambetovichzhan
Mar 10, 2017·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·Debra S HellerDianne Sinquee
Jun 22, 2019·ANZ Journal of Surgery·Xiau Wei Tay, Niruben Rajasagaram
Mar 14, 2020·BMC Gastroenterology·Yang ZhangYuechao Xu

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Methods Mentioned

BETA
surgical resection

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