Meckel's Diverticulitis. A rare cause of small bowel obstruction

Andreas Skarpas; Petros Siaperas; Athanasios Zoikas; Emmanouela Griva; Ioannis Kyriazis; Georgios Velimezis; Ioannis Karanikas

doi:10.1093/jscr/rjaa339

Meckel's Diverticulitis. A rare cause of small bowel obstruction

J Surg Case Rep. 2020 Sep 30;2020(9):rjaa339. doi: 10.1093/jscr/rjaa339. eCollection 2020 Sep.

Authors

Andreas Skarpas¹, Petros Siaperas¹, Athanasios Zoikas¹, Emmanouela Griva¹, Ioannis Kyriazis¹, Georgios Velimezis¹, Ioannis Karanikas¹

Affiliation

¹ 2nd Department of Surgery G.H. Sismanoglion, Sismanogliou 37, 15126 Marousi, Greece.

Abstract

Meckel's Diverticulum is a sac-like protrusion of the intestinal wall. It is located at 40-60 cm from the caecum. In the majority of cases, Meckel's Diverticulum is clinically silent, while complications are found in 4% of the population. Complicated diverticulitis is associated with the formation of abscess, fistula, bowel obstruction or frank perforation. We present a case of a 63-year-old woman with a distended abdomen, pain in the lower right abdominal quadrant, fever 37°C and where emergency exploratory laparotomy revealed that obstruction was caused by a bowel loop trapped by a mesenterium-diverticular band.

Keywords: Meckel’s Diverticulum; mesenteriun-diverticular band; mesodiverticular band; small bowel obstruction; symphysis.

Publication types

Case Reports