J Korean Surg Soc.
2006 Jun;70(6):475-477.
Gangrenous Meckel's Diverticulum with Intestinal Obstruction: Laparoscopic Assisted Diverticulectomy
- Affiliations
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- 1Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. yslee@catholic.ac.kr
- 2Department of Surgery, Our Lady of Mercy Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- 3Department of Surgery, St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- 4Department of Surgery, St. Vincent Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract
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Meckel's diverticulum is the most common congenital anomaly that results from an incomplete obliteration of omphalomesenteric duct. But only 10% of Meckel's diverticulums are symptomatic. The most common presentation in children is painless rectal bleeding, while intestinal obstruction is more common in adults. Obstruction with a Meckel's diverticulum is usually attributed to intussusception, volvulus, inflammatory adhesion, or an internal hernia. Author's experienced multi-directionally rotated Meckel's diverticulum causes intestinal obstruction with gangrenous change in a child and removed successfully with laparoscopic assistance. To our knowledge, this appears to be a first case report of a torsion of Meckel's diverticulum associated with intestinal obstruction in Korea, which was treated by laparoscopic procedure.