Neonatal intestinal obstruction secondary to a floppy meckel's diverticulum successfully treated by minimal access surgery

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Abstract

Meckel's diverticulum has several known complications including diverticulitis and perforation. The presence of mesodiverticular band or a band from the diverticulum to the anterior abdominal wall is also described and can cause obstruction or rotation of the small bowel leading to volvulus. Meckel's diverticulum is also well known as the lead point for intussusception. It may be lined by ectopic gastric mucosa and can cause life-threatening gastrointestinal bleeding. We report a neonate who presented with acute intestinal obstruction secondary to a large, mobile Meckel's diverticulum which due to a direct compression effect on the adjacent small bowel caused mechanical intestinal obstruction. Diagnosis was confirmed at laparoscopy, and treated by curative surgical resection. This is the first report of a large mobile Meckel' s diverticulum causing small bowel obstruction due to direct compression that was managed by minimally invasive surgical resection.

Original languageEnglish
JournalBMJ Case Reports
DOIs
Publication statusPublished - 2012

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Meckel Diverticulum
Intestinal Obstruction
Intestinal Volvulus
Diverticulitis
Intussusception
Diverticulum
Abdominal Wall
Gastric Mucosa
Laparoscopy
Hemorrhage

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Neonatal intestinal obstruction secondary to a floppy meckel's diverticulum successfully treated by minimal access surgery",
abstract = "Meckel's diverticulum has several known complications including diverticulitis and perforation. The presence of mesodiverticular band or a band from the diverticulum to the anterior abdominal wall is also described and can cause obstruction or rotation of the small bowel leading to volvulus. Meckel's diverticulum is also well known as the lead point for intussusception. It may be lined by ectopic gastric mucosa and can cause life-threatening gastrointestinal bleeding. We report a neonate who presented with acute intestinal obstruction secondary to a large, mobile Meckel's diverticulum which due to a direct compression effect on the adjacent small bowel caused mechanical intestinal obstruction. Diagnosis was confirmed at laparoscopy, and treated by curative surgical resection. This is the first report of a large mobile Meckel' s diverticulum causing small bowel obstruction due to direct compression that was managed by minimally invasive surgical resection.",
author = "{Abdul Aziz}, {Dayang Anita} and Sehat, {Syariz I.} and Marjmin Osman and {Mohd Zaki}, Faizah",
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T1 - Neonatal intestinal obstruction secondary to a floppy meckel's diverticulum successfully treated by minimal access surgery

AU - Abdul Aziz, Dayang Anita

AU - Sehat, Syariz I.

AU - Osman, Marjmin

AU - Mohd Zaki, Faizah

PY - 2012

Y1 - 2012

N2 - Meckel's diverticulum has several known complications including diverticulitis and perforation. The presence of mesodiverticular band or a band from the diverticulum to the anterior abdominal wall is also described and can cause obstruction or rotation of the small bowel leading to volvulus. Meckel's diverticulum is also well known as the lead point for intussusception. It may be lined by ectopic gastric mucosa and can cause life-threatening gastrointestinal bleeding. We report a neonate who presented with acute intestinal obstruction secondary to a large, mobile Meckel's diverticulum which due to a direct compression effect on the adjacent small bowel caused mechanical intestinal obstruction. Diagnosis was confirmed at laparoscopy, and treated by curative surgical resection. This is the first report of a large mobile Meckel' s diverticulum causing small bowel obstruction due to direct compression that was managed by minimally invasive surgical resection.

AB - Meckel's diverticulum has several known complications including diverticulitis and perforation. The presence of mesodiverticular band or a band from the diverticulum to the anterior abdominal wall is also described and can cause obstruction or rotation of the small bowel leading to volvulus. Meckel's diverticulum is also well known as the lead point for intussusception. It may be lined by ectopic gastric mucosa and can cause life-threatening gastrointestinal bleeding. We report a neonate who presented with acute intestinal obstruction secondary to a large, mobile Meckel's diverticulum which due to a direct compression effect on the adjacent small bowel caused mechanical intestinal obstruction. Diagnosis was confirmed at laparoscopy, and treated by curative surgical resection. This is the first report of a large mobile Meckel' s diverticulum causing small bowel obstruction due to direct compression that was managed by minimally invasive surgical resection.

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