Small bowel segment with Meckel’s diverticulum volvulus related to short mesodiverticular band: a case report
Abstract Background Meckel’s diverticulum is a remnant of the omphalomesenteric duct and occurs in only about 2% of people. Mesodiverticular band is the congenital remnant of the vitelline artery and is an even less often occurring phenomenon. Presented case We present the case of a 56-year-old Cauc...
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | https://doi.org/10.1186/s13256-023-03844-x |
| _version_ | 1827979447145332736 |
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| author | Michał Zieliński Patryk Kaczor Grzegorz Jarczyk Marek Jackowski |
| author_facet | Michał Zieliński Patryk Kaczor Grzegorz Jarczyk Marek Jackowski |
| author_sort | Michał Zieliński |
| collection | DOAJ |
| description | Abstract Background Meckel’s diverticulum is a remnant of the omphalomesenteric duct and occurs in only about 2% of people. Mesodiverticular band is the congenital remnant of the vitelline artery and is an even less often occurring phenomenon. Presented case We present the case of a 56-year-old Caucasian male who was admitted to the emergency department with a very intense, sudden abdominal pain, without past abdominal surgery history. Contrast enhanced computed tomography showed a possibly ischemic closed loop of the small intestine. Urgent laparotomy was performed, during which bloody content in the peritoneal cavity and torsed loop of the small intestine with Meckel’s diverticulum were found. The bowel loop and Meckel’s diverticulum were ischemic. At the tip of Meckel’s diverticulum there was a broken fibrous band extending to mesentery with pulsating artery. We did segmental resection of small intestine including Meckel’s diverticulum and primary end-to-end anastomosis. The patient had an unremarkable postoperative hospital stay and was discharged home after 5 days. Conclusion In our case, we describe a patient with the volvulus of a segment of small bowel and Meckel’s diverticulum, which eventually led to small bowel obstruction and ischemia. It was a very rare case that required urgent surgical treatment. |
| first_indexed | 2024-04-09T21:38:00Z |
| format | Article |
| id | doaj.art-745369c83d284428bc4835ed7d7ccdf1 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-09T21:38:00Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-745369c83d284428bc4835ed7d7ccdf12023-03-26T11:12:05ZengBMCJournal of Medical Case Reports1752-19472023-03-011711510.1186/s13256-023-03844-xSmall bowel segment with Meckel’s diverticulum volvulus related to short mesodiverticular band: a case reportMichał Zieliński0Patryk Kaczor1Grzegorz Jarczyk2Marek Jackowski3Department of General, Gastroenterological and Oncological Surgery, Collegium Medicum Nicolaus Copernicus UniversityDepartment of General, Gastroenterological and Oncological Surgery, Collegium Medicum Nicolaus Copernicus UniversityDepartment of General, Gastroenterological and Oncological Surgery, Collegium Medicum Nicolaus Copernicus UniversityDepartment of General, Gastroenterological and Oncological Surgery, Collegium Medicum Nicolaus Copernicus UniversityAbstract Background Meckel’s diverticulum is a remnant of the omphalomesenteric duct and occurs in only about 2% of people. Mesodiverticular band is the congenital remnant of the vitelline artery and is an even less often occurring phenomenon. Presented case We present the case of a 56-year-old Caucasian male who was admitted to the emergency department with a very intense, sudden abdominal pain, without past abdominal surgery history. Contrast enhanced computed tomography showed a possibly ischemic closed loop of the small intestine. Urgent laparotomy was performed, during which bloody content in the peritoneal cavity and torsed loop of the small intestine with Meckel’s diverticulum were found. The bowel loop and Meckel’s diverticulum were ischemic. At the tip of Meckel’s diverticulum there was a broken fibrous band extending to mesentery with pulsating artery. We did segmental resection of small intestine including Meckel’s diverticulum and primary end-to-end anastomosis. The patient had an unremarkable postoperative hospital stay and was discharged home after 5 days. Conclusion In our case, we describe a patient with the volvulus of a segment of small bowel and Meckel’s diverticulum, which eventually led to small bowel obstruction and ischemia. It was a very rare case that required urgent surgical treatment.https://doi.org/10.1186/s13256-023-03844-xMeckel’s diverticulumMesodiverticular bandSmall bowel obstructionVirgin abdomenInternal herniaCase report |
| spellingShingle | Michał Zieliński Patryk Kaczor Grzegorz Jarczyk Marek Jackowski Small bowel segment with Meckel’s diverticulum volvulus related to short mesodiverticular band: a case report Journal of Medical Case Reports Meckel’s diverticulum Mesodiverticular band Small bowel obstruction Virgin abdomen Internal hernia Case report |
| title | Small bowel segment with Meckel’s diverticulum volvulus related to short mesodiverticular band: a case report |
| title_full | Small bowel segment with Meckel’s diverticulum volvulus related to short mesodiverticular band: a case report |
| title_fullStr | Small bowel segment with Meckel’s diverticulum volvulus related to short mesodiverticular band: a case report |
| title_full_unstemmed | Small bowel segment with Meckel’s diverticulum volvulus related to short mesodiverticular band: a case report |
| title_short | Small bowel segment with Meckel’s diverticulum volvulus related to short mesodiverticular band: a case report |
| title_sort | small bowel segment with meckel s diverticulum volvulus related to short mesodiverticular band a case report |
| topic | Meckel’s diverticulum Mesodiverticular band Small bowel obstruction Virgin abdomen Internal hernia Case report |
| url | https://doi.org/10.1186/s13256-023-03844-x |
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