Small Bowel Obstruction due to Meckel’s Diverticulum: A Case Report

Abstract

Background: Meckel Diverticulum is the most common congenital gastrointestinal malformation, which is 40% of cases have symptoms of intestinal obstruction. The prevalence of this disorder is between 1% and 4% of the population and the possibility of its occurring in men is twice that women. Most of Meckel diverticulums are asymptomatic so it is difficult to diagnose properly the Meckel diverticulum before surgery it may not be detectable because of other intra-abdominal complications such as appendicitis, inflammatory bowel disease, or other causes of small bowel obstruction,

Case Report: The patient was a 28-year-old man who had abdominal pain with repeated vomiting two days earlier. In abdominal and pelvic CT scans, the dilatation of small bowel loops with screw loops around the arterial origin and upper mesenteric vein and the mesenteric root has been reported. Due to the lack of clinical improvement, the patient was transferred to the operating room for laparotomy. In the operating room, a large adhesive band of about 60 cm of the ileocecal valve was released, and the broad and inflamed diverticulitis was removed at a base of about 2 to 2.5 cm.

Conclusion: Detecting Meckel’s diverticulum with no sign from normal colon using a CT scan is difficult, but laparoscopy as a useful tool in the diagnosis of Meckel’s diverticulum has been reported. The care standard of Meckel’s diverticulum is a surgical procedure for the removal of complications. Surgical methods used include simple diverticulectomy or removing part of the ileum that diverticulum is located. For proper diagnosis especially in patients with unusual symptoms, It is necessary that the symptoms of diverticulum are considered

International Journal of Human and Health Sciences Vol. 03 No. 01 January’19. Page : 32-36