Acute Intestinal Obstruction in Meckel’s Diverticulum

Aim. To present of a clinical case of a rare complication of Meckel’s diverticulum (MD).General findings. Diseases caused by the presence of MD present one of the most common causes of an “acute abdomen” in children: up to 60% of cases of their manifestation occur in children under 10 years of age....

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Main Author: I. H. Shidakov
Format: Article
Language:Russian
Published: Gastro LLC 2020-04-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/457
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author I. H. Shidakov
author_facet I. H. Shidakov
author_sort I. H. Shidakov
collection DOAJ
description Aim. To present of a clinical case of a rare complication of Meckel’s diverticulum (MD).General findings. Diseases caused by the presence of MD present one of the most common causes of an “acute abdomen” in children: up to 60% of cases of their manifestation occur in children under 10 years of age. The most common MD manifestations involve complications, such as intestinal obstruction, bleeding, diverticulitis and Litre hernia. A 9-year-old girl with abdominal pain and vomiting having appeared several hours before hospitalization was admitted to a paediatric surgical department. A few hours later, the child was operated. In the course of surgery, a strangulated intestinal obstruction was found on the mesodiverticular ligament connecting Meckel’s diverticulum with the root of the small intestine mesentery. As a result, a diverticulum resection and bowel obstruction were performed. The child was discharged with recovery.Conclusions. An inversion of the intestine around the mesodiverticular ligament appears to be one of the most rare complications of MD. In this case, the delayed diagnosis results in the development of formidable complications in the form of necrosis and intestinal perforation, which makes Meckel’s diverticulum one of the most dangerous conditions in children.
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spelling doaj-art-a33023d60a0e4275b0090ce512cf19352025-02-10T16:14:36ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732020-04-01301384110.22416/1382-4376-2020-30-1-38-41348Acute Intestinal Obstruction in Meckel’s DiverticulumI. H. Shidakov0Republican Paediatric Multidisciplinary HospitalAim. To present of a clinical case of a rare complication of Meckel’s diverticulum (MD).General findings. Diseases caused by the presence of MD present one of the most common causes of an “acute abdomen” in children: up to 60% of cases of their manifestation occur in children under 10 years of age. The most common MD manifestations involve complications, such as intestinal obstruction, bleeding, diverticulitis and Litre hernia. A 9-year-old girl with abdominal pain and vomiting having appeared several hours before hospitalization was admitted to a paediatric surgical department. A few hours later, the child was operated. In the course of surgery, a strangulated intestinal obstruction was found on the mesodiverticular ligament connecting Meckel’s diverticulum with the root of the small intestine mesentery. As a result, a diverticulum resection and bowel obstruction were performed. The child was discharged with recovery.Conclusions. An inversion of the intestine around the mesodiverticular ligament appears to be one of the most rare complications of MD. In this case, the delayed diagnosis results in the development of formidable complications in the form of necrosis and intestinal perforation, which makes Meckel’s diverticulum one of the most dangerous conditions in children.https://www.gastro-j.ru/jour/article/view/457meckel’s diverticulumintestinal obstructioninversionpaediatric surgery
spellingShingle I. H. Shidakov
Acute Intestinal Obstruction in Meckel’s Diverticulum
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
meckel’s diverticulum
intestinal obstruction
inversion
paediatric surgery
title Acute Intestinal Obstruction in Meckel’s Diverticulum
title_full Acute Intestinal Obstruction in Meckel’s Diverticulum
title_fullStr Acute Intestinal Obstruction in Meckel’s Diverticulum
title_full_unstemmed Acute Intestinal Obstruction in Meckel’s Diverticulum
title_short Acute Intestinal Obstruction in Meckel’s Diverticulum
title_sort acute intestinal obstruction in meckel s diverticulum
topic meckel’s diverticulum
intestinal obstruction
inversion
paediatric surgery
url https://www.gastro-j.ru/jour/article/view/457
work_keys_str_mv AT ihshidakov acuteintestinalobstructioninmeckelsdiverticulum