Small bowel obstruction due to a giant Meckel's diverticulum
- \(\textbf {Background:}\) Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal tract, with an average length of 3 cm. Complications occur in 6.4% and most commonly include inflammation and gastrointestinal bleeding. Preoperative diagnosis is demanding and achieved in 4%. \(\textbf {Case Report:}\) A 34-year-old otherwise healthy patient presented with an acute abdomen due to small bowel obstruction. Computed tomography scan could not identify the underlying cause. Emergency laparotomy was performed, and a torqued giant Meckel’s diverticulum measuring 17 cm was found as the underlying cause for the small bowel obstruction. Resection of the affected ileum segment and ileo-ileal reconstruction were performed. The postoperative course was uneventful. \(\textbf {Conclusion:}\) In extremely rare cases, small bowel obstruction in an otherwise healthy patient might be caused by torsion of a symptomatic giant Meckel’s diverticulum.
| Author: | Andreas Minh LuuORCiDGND, Kirsten MeurerGND, Torsten HerzogGND, Waldemar UhlORCiDGND, Andrea TannapfelORCiDGND, Chris BraumannORCiDGND |
|---|---|
| URN: | urn:nbn:de:hbz:294-60597 |
| DOI: | https://doi.org/10.1159/000450589 |
| Parent Title (English): | Visceral medicine |
| Document Type: | Article |
| Language: | English |
| Date of Publication (online): | 2018/07/26 |
| Date of first Publication: | 2016/11/22 |
| Publishing Institution: | Ruhr-Universität Bochum, Universitätsbibliothek |
| Tag: | Open Access Fonds Acute abdomen; Giant Meckel’s diverticulum; Ileus; Small bowel obstruction |
| Volume: | 32 |
| Issue: | 6 |
| First Page: | 434 |
| Last Page: | 436 |
| Note: | Article Processing Charge funded by the Open Access Publication Fund of Ruhr-Universität Bochum. |
| Institutes/Facilities: | St. Josef-Hospital Bochum, Klinik für Allgemein- und Viszeralchirurgie |
| Dewey Decimal Classification: | Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit |
| open_access (DINI-Set): | open_access |
| faculties: | Medizinische Fakultät |
| Licence (German): |  Nationale Lizenz |
