Laparoscopic Surgery for Meckel’s Diverticulum Presenting as Small Bowel Obstruction: A Case Report

Mushtaq Chalkoo,Mumtaz-Din Wani,Ankush Banotra,Syed Shakeeb,Yassar Arafat,Hilal Makhdoomi,Awhad Mueed

doi:10.4236/ss.2016.711067

Abstract

Meckel’s diverticulum is not commonly encountered surgical entity and presents unique challenges for a pediatric surgeon, as it is prone to varied complications. A 14-year-old boy was admitted with us with a 48-hour history of lower abdominal pain and multiple episodes of vomiting. Radiological imaging studies revealed a high-grade partial small bowel obstruction. A fleeting conservative management was tried. The diagnostic laparoscopy revealed a small bowel obstruction secondary to a Meckel’s diverticulum. The diverticulum was resected using an endovascular GIA stapler. The patient was discharged on postoperative day four, tolerating a regular diet. Laparoscopy is a useful diagnostic and therapeutic means for a patient with a small bowel obstruction due to an uncertain etiology.

Highlights

A Meckel diverticulum is an embryologic abnormality that is part of a spectrum of anomalies known as yolk stalk or omphalomesenteric duct remnants
In 1809, Johann Meckel, an anatomist, described this anomaly in detail. He identified the origin of the diverticulum as the omphalomesenteric duct and emphasized that this anatomic abnormality was a potential cause of disease
We present a case of a small bowel obstruction secondary to a Meckel’s diverticulum, diagnosed and treated laparoscopically

Summary

Introduction

A Meckel diverticulum is an embryologic abnormality that is part of a spectrum of anomalies known as yolk stalk or omphalomesenteric duct remnants. In 1809, Johann Meckel, an anatomist, described this anomaly in detail He identified the origin of the diverticulum as the omphalomesenteric duct and emphasized that this anatomic abnormality was a potential cause of disease. Meckel’s diverticulum can present as abdominal pain with an unclear cause, hematochezia, inflammation with or without perforation, intussusception, and a small bowel obstruction [2] [3]. Inflammation of this Meckel’s diverticulum may mimic appendicitis. We present a case of a small bowel obstruction secondary to a Meckel’s diverticulum, diagnosed and treated laparoscopically

Case Report

Discussion

Conclusion