SMALL BOWEL OBSTRUCTION DUE TO MECKEL’S DIVERTICULUM FORMING A KNOT AROUND THE ILEUM: UNUSUAL PRESENTATION

Zelalem Chimdesa Merga | Bio
Head of department of surgery, Bona Hospital, Sidama zone, South nation and nationalities region, Ethiopia
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  • Submited: August 19, 2016
  • Published: December 14, 2017

Abstract

Meckel’s diverticulum is an embryologic residue resulting from an incomplete obliteration of vitteline duct during the early weeks of gestation. Often times it is small in size of about two inches, but occasionally it can acquire a very long length. This paper deals with a rare case on a 25 years old previously healthy male patient from Bona woreda, Sidama Ethnic group, who presented to our hospital with typical signs and symptoms of small bowel obstruction, which was managed with emergency surgery. It was noticed that the cause of the obstruction was an exceptionally rare presentation of Meckel’s diverticulum which is a knot formed by the diverticulum over the adjacent small bowel.

Key words: Meckel’s diverticulum, Knotting, Small bowel obstruction

 

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References

  1. Gurleyik E, Gurleyik G, Unalmiser S. Meckel’s diverticulum as a cause of small bowel obstruction in children and young adults. Turkish Journal of Gastroenterology. 1997; 8:206-09.
  2. Whang EE, Ashley SW, Zimmer MJ. Small intestine. In: F. Charles Brunicardi (ed). Schwart’s Principles of Surgery. 8th ed. New York. McGraw-Hill; 2005:1017-1054.
  3. Koshariya M, Choudhary A, Gome N, Meravi A, Rai A, Songra.M.C. Ileo-sigmoid knotting: An unusual case of intestinal obstruction. International Archives of Integrated Medicine. 2015;2(4):179-81.
  4. Kumar S.S, Grace R.D, Lavanya, Abbinaya A rare cause of intestinal obstruction :ileo-ileal knotting.IOSR Journal of Dental and Medical Sciences. 2015;14(4):23-24.
  5. Kumar A, Jain C, Viswanath S. Acute Intestinal Obstruction Due to Meckel’s Diverticulum: A Case Report. International Journal of Case Reports in Medicine. 2013. Available from http://www.ibimapublishing.com/journals/IJCRM/ijcrm.html [Accessed on 20th of August 2016].
  6. Murruste M, Rajaste G, Kase K. Torsion of Meckel's diverticulum as a cause of small bowel obstruction: A case report. World J Gastrointest Surg. 2014;6(10):204-07
  7. Sözen S, Emir S, Gönen A, Aziret M. Intestinal Intussusception Due to Meckel’s Diverticulum. European Journal of General Medicine. 2012;9(1):56-58.
  8. Raju T.V, Behera P. Ileo-ileal intussusception in an adult due to an Inverted Meckel's Diverticulum. Indian Journal of Basic and Applied Medical Research. 2015;4(2):53-5.
  9. Amin M.U, Siddiquiand M.K, Mahmood R. Inverted Meckel’s Diverticulum Causing Intussusception in an Adult. Journal of the College of Physicians and Surgeons Pakistan. 2008;18(9):574-75.
  10. Kaya O, Moran M, Özdemir F, Çetinkunar S. A Rare Cause of Intestinal Obstruction: Meckel’s Diverticulitis. Turk J Med Sci. 2008;38(3):277-79.
  11. Colombo P.L, Dini S, De Vecchi E, Bianchi C, Bulboaca F. Acute small bowel obstruction due to phytobezoar within Meckel diverticulum. Mædica - a Journal of Clinical Medicine. 2009;4(1):35-38.
  12. Xiang M, Mazer L.M, Gupta A, Odom S.R. Phytobezoar in a Meckel’s Diverticulum Associated with Recent Adoption of a Paleolithic Diet. Austin Journal of Surgery. 2014; 1(4):1018.
  13. Jindal S, Sandhu S. Meckel’s Diverticulum Presenting as Intestinal Obstruction due to Faecal Impaction – A Rare Case Report. JIMSA. 2013;26(2):122–23.
  14. Kyriazanos I.D, Tambaropoulos K, Martinos H, Pechlivanidis G, Davidis D, Noussis G. Meckel’s diverticulum lithiasis: A case of small bowel obstruction due to a migrated Meckel’senterolith. Indian Journal of Surgery.2006;68(1):41–3.
  15. Maia D.S, Ferreira M, Viegas R.G, Silva E.E, Oliveira P, Silva R.C, et al. Bowel obstruction in Meckel’s diverticulum. ABCD Arq Bras Cir Dig. 2013;26(3):244-45.
  16. Naveen N, Mukherjee A, Linge G. A Case of Strangulated Small Bowel Obstruction Due to Mesodiverticular Band of Meckel's Diverticulum in an Adult. Scholars Journal of Applied Medical Sciences. 2013;1(4):329-31.
  17. Evers BM. Small bowel. in: Courtney M. Townsend jr., editor. Sabiston Textbook of Surgery. Philadelphia, Pennsylvania. W.B. Saunders 2001; p. 873-916.
How to Cite
Merga, Z. C. (2017). SMALL BOWEL OBSTRUCTION DUE TO MECKEL’S DIVERTICULUM FORMING A KNOT AROUND THE ILEUM: UNUSUAL PRESENTATION. Ethiopian Medical Journal, 56(1). Retrieved from https://emjema.org/index.php/EMJ/article/view/464

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