Internal Hernia and Volvulus in an Adult Male Caused by Meckel’s Diverticulum: A Case Report
| Autor: | Athanasios Katsaounis, Isaak Kesisoglou, Vasiliki Manaki, Christina Sevva, Despoina Vasileiou, Konstantinos Sapalidis, Charilaos Koulouris, Vasiliki Magra, Stelian Pantea, Panagiota Roulia |
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| Rok vydání: | 2021 |
| Předmět: |
Internal hernia
congenital hereditary and neonatal diseases and abnormalities Medicine (General) medicine.medical_specialty Ileus Exploratory laparotomy medicine.medical_treatment meckel’s diverticulum digestive system volvulus R5-920 Laparotomy parasitic diseases medicine case report Meckel's diverticulum business.industry General Medicine internal hernia medicine.disease digestive system diseases Surgery Volvulus surgical procedures operative Acute abdomen ileum medicine.symptom business Diverticulum |
| Zdroj: | Medicina, Vol 57, Iss 443, p 443 (2021) Medicina |
| ISSN: | 1648-9144 |
| DOI: | 10.3390/medicina57050443 |
| Popis: | Background: Meckel’s diverticulum is a common congenital abnormality of the gastrointestinal tract encountered in about 1–3% of the general population. Although most patients remain asymptomatic, a minority will experience serious complications such as acute abdomen, haemorrhage or obstructive ileus. Of all patients presenting with symptoms of obstruction due to Meckel’s diverticulum 7–18% is due to volvulus. Case Report: A 39-year-old male with multiple previous episodes of obstructive ileus presented with an acute abdomen. An exploratory laparotomy was performed in order to reveal the cause of the obstruction. An internal hernia with ileal volvulus and a Meckel’s diverticulum was found, which was later confirmed by histopathological examination. Conclusion: Meckel’s diverticulum is a rare cause of acute abdomen and obstructive ileus which should be considered when the symptoms date back to childhood. The difficulty of preoperative diagnosis dictates the need for exploratory laparoscopy or laparotomy as diagnostic tools. |
| Databáze: | OpenAIRE |
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