Rare presentation on Meckels diverticulum on the mesenteric border forming a mass
Keywords:
Meckel’s diverticulum, Mesenteric border, Uncommon locationAbstract
Meckel’s diverticulum (MD) is a diagnostic and surgical challenge. Majority of Meckel’s diverticulae are silent and are discovered incidentally intraoperatively. Mostly, they are located at antimesentric border of distal ileum. Herein, we present a case a mesenteric sided MD 44 cm from ileocecal junction that had formed a mass, without obstructing the lumen of ileum. A segmental resection was done with adequate margin and ileum was reanastomosed. Histopathology of the specimen confirmed chronic inflammation of MD. Post-operative period was uneventful, and the patient was discharged in a stable condition.
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References
Yahchouchy EK, Marano AF, Etienne JC, Fingerhut AL. Meckel’s diverticulum. J Am Coll Surg. 2001;192(5):658-62.
Jones O, McC Mortenson, Neil JMC. The small and large intestines. In: Russell RCG, Williams NS, Bulstrode CJK, editors. Bailey & Love’s Short Practice of Surgery. 24th Edition. London: Arnold; 2004: 1159.
Hollinshead WH. The jejunum, ileum and colon. In: Hollinshead WH, editor. Anatomy for Surgeons. 2nd Edition, Volume. 2. New York: Harper and Row; 1971: 471-5.
Sarioglu-Buke A, Corduk N, Koltuksuz U, Karabul M, Savran B, Bagci S. An uncommon variant of Meckel’s diverticulum. Can J Surg. 2008;51(2):E46-7.
Uppal K, Tubbs RS, Matusz P, Shaffer K, Loukas M. Meckel’s diverticulum: A review. Clin Anat. 2011;24(4):416-22.
Palepu S. Axial volvulus of a giant Meckel’s diverticulum. Abdom Surg. 2007.
DiGiacomo JC, Cottone FJ. Surgical treatment of Meckel’s diverticulum. South Med J. 1993;86:671-5.
Thurley PD, Halliday KE, Somers JM, Al-Daraji WI, Ilyas M, Broderick NJ. Radiological features of Meckel’s diverticulum and its complications. Clin Radiol. 2009;64(2):109-18.
Chan KW. Perforation of Meckel’s diverticulum caused by a chicken bone: A case report. J Med Case Rep. 2009;3:48.
Cullen JJ, Kelly KA, Moir CR, Hodge DO, Zinsmeister AR, Melton LJ 3rd. Surgical management of Meckel’s diverticulum. An epidemiologic, population-based study. Ann Surg. 1994;220(4):564-8.