Asian Journal of Research in Surgery

An Extremely Rare Case of Small Bowel Strangulation Due to Meckel’s Diverticulum

Sopan N. Jatal *

Jatal Hospital and Research Centre, Latur, India.

Sudhir Jatal

Jatal Hospital and Research Centre, Latur, Tata Hospital, Mumbai, India.

Sachin Ingle

Department of Pathology, MIMSR Medical College, Latur, India.

*Author to whom correspondence should be addressed.

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Abstract

Meckel’s diverticulum is the most common congenital gastrointestinal anomaly. Intestinal obstruction is the common presenting symptom in the adult population, due to complications like intussusception, Incarceration, adhesion and torsion around a fibrous band attached to the umbilicus. The life time risk of complication is 4-9%. It is an uncommon cause of acute intestinal obstruction in adults. Strangulation of small bowel with an encircling Meckel’s diverticulum around the base of the mesentery or loop formation of Meckel’s diverticulum leading to small bowel obstruction is an extremely rare event causing strangulation of small bowel and high mortality if the treatment is delayed.

We present a case report of a 15 years-old boy, who present with small bowel obstruction, requiring an emergency laparotomy. He was found a strangulated loop of small bowel with an encircling Meckel’s diverticulum around the base of the mesentery. So five feet of gangrenous small bowel along with Meckel’s diverticulum is resected and end to end anastomosis done.

Keywords: Small bowel obstruction, Meckel’s diverticulum, explorative laparotomy

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