دورية أكاديمية
أعرض في EDS

Post-appendicectomy small bowel obstruction due to internal hernia involving Meckel's diverticulum.

التفاصيل البيبلوغرافية
العنوان: Post-appendicectomy small bowel obstruction due to internal hernia involving Meckel's diverticulum.
المؤلفون: Lee C; East Metropolitan Health Service, Perth, Western Australia, Australia chanyang1@gmail.com., Antoun I; Kalgoorlie Health Campus, Kalgoorlie, Western Australia, Australia.
المصدر: BMJ case reports [BMJ Case Rep] 2024 Feb 05; Vol. 17 (2). Date of Electronic Publication: 2024 Feb 05.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 101526291 Publication Model: Electronic Cited Medium: Internet ISSN: 1757-790X (Electronic) Linking ISSN: 1757790X NLM ISO Abbreviation: BMJ Case Rep Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BMJ Pub. Group
مواضيع طبية MeSH: Meckel Diverticulum*/complications , Meckel Diverticulum*/diagnostic imaging , Meckel Diverticulum*/surgery , Appendicitis*/complications , Intestinal Obstruction*/diagnostic imaging , Intestinal Obstruction*/etiology , Intestinal Obstruction*/surgery , Hernia, Abdominal*/surgery, Male ; Humans ; Internal Hernia ; Acute Disease
مستخلص: Meckel's diverticulum is the most common congenital abnormality of the small bowel, present in about 2% of the population. A man in his 20s underwent a laparoscopic appendicectomy for acute appendicitis and recovered uneventfully. He presented to the emergency department 1 month later with features of acute small bowel obstruction. Emergency diagnostic laparoscopy revealed a band adhesion between the apex of a Meckel's diverticulum to the appendicectomy stump. Internal herniation of ileum under this band adhesion resulted in small bowel obstruction and ischaemic necrosis of the Meckel's diverticulum. The band adhesion was divided, and the Meckel's diverticulum was resected at the base with a linear cutting stapler. This complication has not been reported previously. A Meckel's diverticulum is an important differential diagnosis of acute appendicitis and should routinely be searched for among other pathologies. It can rarely cause a postoperative complication of internal hernia.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: Gastrointestinal surgery; General surgery; Radiology; Surgery
تواريخ الأحداث: Date Created: 20240205 Date Completed: 20240207 Latest Revision: 20240521
رمز التحديث: 20240521
مُعرف محوري في PubMed: PMC10859988
DOI: 10.1136/bcr-2023-257717
PMID: 38316488
قاعدة البيانات: MEDLINE
الوصف
تدمد:1757-790X
DOI:10.1136/bcr-2023-257717