CT features of small bowel obstruction sur to mesodiverticular band

Tutar, Onur; Velidedeoğlu, Mehmet; Yanık, İrem; Koçak, Burak; Baş, Ahmet; Tutar, Belgın; Kantarcı, Fatih

doi:10.5334/jbr-btr.741

Cited by 6 publications

(8 citation statements)

References 8 publications

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“…Imaging features of the mesodiverticular band of the Meckel’s diverticulum have been published. 15 , 16 Sun et al 20 demonstrated the mesodiverticular band as a hyperechoic line in their cases and highlighted the feasibility of high frequency ultrasonography, particularly in children, in revealing congenital bands. However, they emphasized that CT is superior to ultrasonography in detecting the aetiology of small bowel obstruction accurately in adult or obese patients.…”

Section: Discussionmentioning

confidence: 98%

“…Intestinal obstruction owing to mesodiverticular band has been reported in patients with Meckel’s diverticulum. 14 – 16 , 17 , 18 In addition, Vork et al 19 have pointed out the high mortality rate of Meckel’s diverticulum combined with mesodiverticular band and the importance of immediate surgery. In this setting, internal herniation of the small bowel loops underneath the mesodiverticular band is the main mechanism for bowel obstruction, as seen in the presented case.…”

Section: Discussionmentioning

confidence: 99%

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Unusual cause of small bowel obstruction: mesodiverticular band of Meckel’s diverticulum demonstrated by CT

2017

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Unusual cause of small bowel obstruction: mesodiverticular band of Meckel’s diverticulum demonstrated by CT

2017

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“…Meckel diverticulum is a common congenital intestinal malformation caused by embryonic dysplasia. [ 8 ] Small intestinal diverticulum was first described by Hidaus in 1958, but Meckel diverticulum was named by Johann Friedrich Meckel the Younger in 1809 [ 9 ] and identified to be true diverticulum because it usually involves the whole layer of the small bowel. [ 10 ] It was found that in the early stages of embryonic development, the yolk tube is located between the midgut and the yolk sac; subsequently, the yolk tube gradually shrinks into the fiber cord, and then completely degrades without any traces.…”

Section: Discussionmentioning

confidence: 99%

“…CTE can not only show the shape of the diverticulum but can also show the diverticulum cavity and adjacent abnormal structural changes. [ 8 , 35 ] However, the detection is related to the amount of peritoneal fat; thus, CTE should not be used in patients with a high body mass index. [ 36 ]…”

Section: Discussionmentioning

confidence: 99%

Small intestinal diverticulum with bleeding

Zhao

Sun

et al. 2018

Medicine

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Rationale:Small intestinal diverticulum with bleeding is an important reason for obscure gastrointestinal bleeding (OGB) , in addition to tumor and vascular diseases. Small intestinal diverticulum with bleeding is difficult to detect by barium meal and angiographic methods and has been regarded as an important cause of obscure gastrointestinal tract bleeding in adolescents. Because of its complicated etiology and non-specific clinical manifestations, it is relatively difficult to detect small intestinal diverticulum with bleeding, especially in patients with a large amount of bleeding and hemodynamic instability.Patient concerns:This retrospective study collects clinical statistics of 19 patients admitted to our hospital from January 2010 to December 2016. Patients who had small intestinal diverticulum patients with bleeding were included in this study. Patients who were taking anticoagulants were excludedDiagnoses:Small intestinal diverticulum patients with bleeding.Interventions:This retrospective study describes the clinical features of patients with small intestinal diverticulum whose main symptom was gastrointestinal bleeding and analyze the literature on this topic, with particular reference to the clinical characteristics, pathological features, and choice of examination methods.Lessons:Small intestinal diverticulum with bleeding is a common cause of obscure gastrointestinal bleeding, but it is difficult to detect using normal examination methods. For patients with repeated gastrointestinal bleeding and no positive results found on gastroscopy and colonoscopy, endoscopy of the small intestine and CTE with contrast can be considered as a diagnostic modality.

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“…As the vitellointestinal duct connects the developing midgut to the yolk sac in the embryo, incomplete resorption of the obliterated vitelline duct results in fibrous band connecting the distal ileum to the umbilicus. Although, in the majority, Meckel's diverticulum does not lead to any complications, approximately 4% of the affected individuals develop complications related to Meckel's diverticulum including haemorrhage, perforation, diverticulitis, and obstruction [2]. Double IVC is also a rare presentation and is usually identified incidentally.…”

Section: Introductionmentioning

confidence: 99%

Congenital Vitelline Band Causing Intestinal Obstruction in an Adult with a Double Inferior Vena Cava

Wettasinghe¹,

Pussepitiya²,

Samarasinghe

et al. 2016

Case Reports in Radiology

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Introduction. Vitelline artery remnants are rare causes of intra-abdominal bands leading to bowel obstruction. These bands may be associated with Meckel's diverticulum. Double inferior vena cava (IVC) is a rare presentation and is usually identified incidentally. Case Presentation. A sixty-year-old male presented with progressive vomiting for five days and he was clinically diagnosed with intestinal obstruction. Plain X-ray abdomen showed evidence of small bowel obstruction. CT scan of the abdomen revealed dilated small bowel loops with a small outpouching in the distal ileum with a band like structure attached to it. In the CT, left sided patent IVC draining into the left renal vein was identified. Left external iliac vein was in continuity with the left IVC. Left internal iliac vein was draining into the right IVC. Exploratory laparotomy revealed a Meckel's diverticulum with a band identified as the vitelline remnant attached to its apex and inserting at the anterior abdominal wall near the umbilicus. Discussion. Meckel's diverticulum with vitelline bands, although rare, should be borne in mind in adult patients with intestinal obstruction. Identification of this anomaly can be difficult in imaging studies. Presence of double IVC should be mentioned in the imaging findings to prevent possible catastrophic complications during surgery.

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CT features of small bowel obstruction sur to mesodiverticular band

Cited by 6 publications

References 8 publications

Unusual cause of small bowel obstruction: mesodiverticular band of Meckel’s diverticulum demonstrated by CT

Unusual cause of small bowel obstruction: mesodiverticular band of Meckel’s diverticulum demonstrated by CT

Small intestinal diverticulum with bleeding

Congenital Vitelline Band Causing Intestinal Obstruction in an Adult with a Double Inferior Vena Cava

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