Meckel’s diverticulum located at the mesenteric edge of the ileum in an adult male: case report

Mwila, Prince Kasongo; Kakudji, Baudouin Kongolo; Mosimanyane, Ntabiseng; Hill, Peter

doi:10.11604/pamj-cm.2019.1.36.21040

Cited by 4 publications

(2 citation statements)

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“…Although a MD in its anti-mesenteric position is the most common malformation of the omphalomesenteric duct, the aforementioned abnormalities have been reported in literature. This has furthermore been reported even with the MD located at the mesenteric edge [ 4 ]. The aim of this paper is to report on a rare intraoperative finding of an ileal-mesenteric FB remnant of a vitelline artery causing small bowel obstruction in an adult female.…”

Section: Introductionmentioning

confidence: 60%

Congenital ileal-mesenteric fibrous band remnant of the vitelline artery causing small bowel obstruction in an adult female: a case report

Mwila¹,

Odendaal²,

Ahmed³

et al. 2022

Pan Afr Med J

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The vitelline circulation connects the fetus and yolk sac in the first few weeks of fetal development. Its components are the vitelline duct, vitelline arteries and vitelline vein. This gradually breaks down as the placenta grows and overtakes the function of yolk sac as the primary nutrition source. In the event of persistence of these structures, multiple anatomical anomalies can arise such as a Meckel´s diverticulum, fibrous bands and others. We report on a rare finding of an ileal-mesenteric fibrous band remnant of a vitelline artery causing small bowel obstruction in an adult female. Our patient, a 40-year-old female presented with both clinical and radiological signs of small bowel obstruction. She had had no previous abdominal surgery or abdominal trauma. Intraoperatively we found an isolated ileal-mesenteric fibrous band situated at approximately 7 cm from the ileocecal junction. It spanned from the antimesenteric border of the terminal ileum to the border of the mesentery at a 15 cm breadth. In the snare-like loop that was created, part of the small bowel was trapped, creating a strangulated internal hernia which presented as a small bowel obstruction. The fibrous band was transected and the viable small bowel was freed during a laparotomy procedure. The post-operative period was uneventful and the patient was discharged on day 5. A fibrous band should be considered one of the rare causes of small bowel obstruction in a virgin abdomen in adults.

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Section: Introductionmentioning

confidence: 60%

Congenital ileal-mesenteric fibrous band remnant of the vitelline artery causing small bowel obstruction in an adult female: a case report

Mwila¹,

Odendaal²,

Ahmed³

et al. 2022

Pan Afr Med J

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“…The incidence ranges between 1% and 2%, with a lifetime complication risk of 4-6% [5]. MD is a true diverticulum, commonly found on the antimesenteric border in the ileum [8]. The majority of MD are silent and are incidentally discovered intraoperatively [9].…”

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confidence: 99%

Case Report: Intraoperatively diagnosed perforated Meckel’s Diverticulum containing gastric-type mucosa

Laham

Albrijawy

Alsamman

et al. 2021

Preprint

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BackgroundMeckel’s Diverticulum is the most common congenital anomaly of the gastrointestinal tract. It characterizes a persistent remnant of the omphalomesenteric duct. Although it mostly remains asymptomatic, its infrequent incidence is reflected by the scarcity of data on it in the literature. Hemorrhage, intestinal obstruction, and inflammation are the most common complications of MD. Perforation of MD is highly rare. Case presentationWe present the case of a 32-year-old female, who presented to the emergency department with 2-day history of generalized abdominal pain. Radiology (X-Ray, Ultrasound) suggested perforated viscus and inflamed Appendix. ConclusionPerforation of MD is seldom diagnosed preoperatively. Complications of MD can be unpredictable, and early recognition with swift surgical management must take place to provide therapeutic outcome for patients. This is an unconventional case of a perforated MD that highlights the necessity of considering MD as core differential diagnosis in patients presenting with acute abdomen.

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Symptomatic mesenteric Meckel's diverticulum in a toddler

Alkhamisy

Douba

Jawish

et al. 2021

Journal of Pediatric Surgery Case Reports

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Meckel’s diverticulum located at the mesenteric edge of the ileum in an adult male: case report

Cited by 4 publications

References 0 publications

Congenital ileal-mesenteric fibrous band remnant of the vitelline artery causing small bowel obstruction in an adult female: a case report

Congenital ileal-mesenteric fibrous band remnant of the vitelline artery causing small bowel obstruction in an adult female: a case report

Case Report: Intraoperatively diagnosed perforated Meckel’s Diverticulum containing gastric-type mucosa

Symptomatic mesenteric Meckel's diverticulum in a toddler

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