1. Internal Hernia and Volvulus in an Adult Male Caused by Meckel’s Diverticulum: A Case Report
- Author
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Athanasios Katsaounis, Isaak Kesisoglou, Vasiliki Manaki, Christina Sevva, Despoina Vasileiou, Konstantinos Sapalidis, Charilaos Koulouris, Vasiliki Magra, Stelian Pantea, and Panagiota Roulia
- Subjects
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 - Abstract
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.
- Published
- 2021
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