Meckel's diverticulum presenting with intestinal occlusion due to internal hernia

Authors

  • David E. Ayala-Garcia Department of General Surgery and Digestive System, General Zone Hospital, Mexican Institute of Social Security, Cd. Juarez, Chihuahua, Mexico
  • Kathya Itzel Porras-Doran Department of Internal Medicine, Regional General Hospital, Mexican Institute of Social Security, Chihuahua, Mexico
  • Agustin Fraga-Ramos Department of General Surgery and Digestive System, General Zone Hospital, Mexican Institute of Social Security, Cd. Juarez, Chihuahua, Mexico
  • David Aguirre-Baca Department of General Surgery and Digestive System, General Zone Hospital, Mexican Institute of Social Security, Cd. Juarez, Chihuahua, Mexico

DOI:

https://doi.org/10.18203/2349-2902.isj20230014

Keywords:

Meckel’s diverticulum, Intestinal obstruction, Internal hernia, Abdominal pain, Images

Abstract

Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal system. Its incidence is approximately 0.3% to 3% of the population. It is located between 30 and 150 cm from the ileocecal valve. Up to 4% present with complications such as haemorrhage, diverticulitis, perforation, and intestinal obstruction. Clinical record of a patient admitted to the emergency room of an IMSS hospital in Ciudad Juárez, including clinical symptoms, imaging, surgical management and pathological anatomy. Patient presented to the emergency room with a clinical and imaging picture of intestinal obstruction. An exploratory laparotomy was performed, finding an internal hernia secondary to adhesions generated between a Meckel's diverticulum to the right mesocolon. Meckel's diverticulitis is a differential diagnosis to consider in young patients presenting with intestinal obstruction, since its early treatment reduces morbidity.

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References

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Published

2023-01-10

Issue

Section

Case Reports