Laparoscopic Treatment of Bowel Obstruction Due to a Bezoar in a Meckel's Diverticulum
| Autor: | de Moya Ma, Peter J. Fagenholz |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Gastrointestinal bleeding Case Reports digestive system Bezoars Diagnosis Differential Intestine Small otorhinolaryngologic diseases medicine Humans Laparoscopy Meckel's diverticulum medicine.diagnostic_test Impaction business.industry General surgery food and beverages Diverticulitis medicine.disease Bezoar digestive system diseases Meckel Diverticulum Bowel obstruction Phytobezoar Surgery Tomography X-Ray Computed business Intestinal Obstruction Diverticulum |
| Zdroj: | JSLS : Journal of the Society of Laparoendoscopic Surgeons |
| ISSN: | 1938-3797 1086-8089 |
| DOI: | 10.4293/108680811x13176785204607 |
| Popis: | Phytobezoar impacted in a Meckel’s diverticulum causing small bowel obstruction can be managed laparoscopically. Background and Objectives: Meckel's diverticulum is a common anomaly of the gastrointestinal tract that may result in gastrointestinal bleeding, diverticulitis, and small bowel obstruction. This report describes the use of laparoscopy to treat a rare complication of Meckel's diverticulum–small bowel obstruction due to phytobezoar impaction. More generally, it provides an example of the feasibility and utility of a laparoscopic approach to small bowel obstructions of unknown causes. Methods: A 34-year-old male presented to the emergency department complaining of episodic abdominal pain and vomiting. He had no history of abdominal surgery. His vital signs were stable, and his abdomen was distended, but only mildly tender. He had no abdominal wall hernias on examination. Imaging was consistent with small bowel obstruction. He was brought to the operating room where laparoscopy revealed a Meckel's diverticulum with an impacted phytobezoar as the source of obstruction. The diverticulum was resected and the phytobezoar removed laparoscopically. Results: The patient recovered well and was discharged home on the third postoperative day, tolerating a regular diet. Conclusions: Phytobezoar impaction in a Meckel's diverticulum causing small bowel obstruction is a rare event. It can be effectively treated laparoscopically. This case provides an example of the potential utility of laparoscopy in treating small bowel obstructions of unclear etiology. |
| Databáze: | OpenAIRE |
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