J Korean Surg Soc.  2006 Jun;70(6):475-477.

Gangrenous Meckel's Diverticulum with Intestinal Obstruction: Laparoscopic Assisted Diverticulectomy

Affiliations
  • 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

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.

Keyword

Meckel's diverticulum; Torsion; Laparoscopy

MeSH Terms

Adult
Child
Hemorrhage
Hernia
Humans
Intestinal Obstruction*
Intestinal Volvulus
Intussusception
Korea
Laparoscopy
Meckel Diverticulum*
Vitelline Duct
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