Meckel’s diverticulum mesentery along with its band forming a hernial sac: A rare case of internal herniation

Pandove, Paras Kumar; Moudgil, Ashish; Pandove, Megha; Chandrashekhar,; Sharda, Divya; Sharda, Vijay K.

doi:10.1016/j.ijscr.2015.03.005

Cited by 9 publications

(5 citation statements)

References 7 publications

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“…4,5 In one literature review, only 6%-12% of cases were diagnosed preoperatively. 6 Rarely, direct compression of the small bowel by the mesodiverticular band, rather than an internal hernia, as in our case, may be the cause of small bowel obstruction due to mesodiverticular band, as has been described in a newborn. 2 Other rare complications associated with a mesodiverticular band have included axial torsion of the diverticulum itself due to the band 7 and aneurysmal rupture of a mesodiverticular band artery, with significant peritoneal hemorrhage, 8 both in adults.…”

Section: Discussionsupporting

confidence: 66%

Sudden Death Associated With Incarcerated Small Bowel Due to Mesodiverticular Band

et al. 2017

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Meckel's diverticulum is a congenital anomaly present in about 3% of the population and usually asymptomatic. Rarely, a mesodiverticular band extends from the tip of a Meckel's diverticulum to the mesentery, thought to be due to lack of involution of the left vitelline artery. The presence of this band creates a closed loop through which loops of bowel can become entrapped. Rare case reports have described incarceration of bowel and sudden death in children. We present such a case and discuss this entity.

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Section: Discussionsupporting

confidence: 66%

Sudden Death Associated With Incarcerated Small Bowel Due to Mesodiverticular Band

et al. 2017

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“…It could be difficult to diagnose Littre’s hernia before operation [3] . Most of them are clinically silent and often incidentally found during laparotomy or in inguinal incision as in our case [4] .…”

Section: Discussionmentioning

confidence: 68%

Modified tension-free mesh repair used in rare case of Littre’s hernia

Duysenovich

Zhaksybekvich

Bakytbekovich

et al. 2015

International Journal of Surgery Case Reports

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“…Internal herniation by the Meckel’s diverticulum causing SBO is rare, and several cases of internal herniation due to adhesion of inflamed end of the Meckel’s diverticulum to the corresponding base of mesentery have been reported by Papaziogas et al [ 10 ] and Lin et al [ 11 ]. Additionally, Pandove et al reported a case of an adhesion band extending from the tip of the diverticulum to the adjacent mesentery, in addition to internal herniation of bowel into a sac formed by unusual mesentery of the Meckel’s diverticulum and the adhesion band [ 12 ]. In a case reported by Zhang et al, the tip of the diverticulum was densely adhered to the adjoining mesentery, forming a narrow ring through which small intestine had drilled through, resulting in gangrene of the herniated small bowel [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Small Bowel Obstruction in a 15-Year-Old Girl: Internal Hernia Associated with Meckel\'s Diverticulum

Lai,

Low,

Lee

et al. 2024

Am J Case Rep

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Patient: Female, 15-year-old Final Diagnosis: Meckel’s diverticulum Symptoms: Abdominal pain • vomiting Clinical Procedure: Laparoscopy assisted transumbilical Meckel’s diverticulectomy (LATUM) Specialty: Pediatrics and Neonatology • Surgery Objective: Rare disease Background: Meckel’s diverticulum is a congenital remnant of the omphalomesenteric duct and is the most common congenital gastrointestinal malformation. Most patients are asymptomatic, but a rare presentation is with sub-acute small bowel obstruction (SBO) due to herniation of bowel loops through an internal hernia formed by the Meckel’s diverticulum and adjacent mesentery that forms an internal hernia. This report is of a 15-year-old girl presenting as an emergency with vomiting and small bowel obstruction due to an internal hernia associated with Meckel’s diverticulum. Case Report: We present a case of a 15-year-old girl who presented to the Children’s Emergency (CE) department with persistent vomiting and abdominal distension and tenderness. X-rays demonstrated dilated small bowel loops, prompting admission under Pediatric Surgery (PAS). A subsequent computed tomography (CT) scan was performed, which demonstrated multiple dilated small bowel loops, confirming SBO, and a blind-ending “C-shaped” bowel loop at the region of the terminal ileum. A diagnostic laparotomy was performed, which confirmed the presence of a Meckel’s diverticulum. The tip of the Meckel’s diverticulum was adherent to part of the small bowel mesentery, forming an internal hernia defect through which a loop of proximal ileum had herniated, resulting in SBO. She then underwent a laparoscopy-assisted transumbilical Meckel’s diverticulectomy (LATUM). The patient recovered uneventfully and was discharged on the 4 th postoperative day. Conclusions: In children presenting with SBO, the possibility of Meckel’s diverticulum as an etiology should be considered as a differential diagnosis. Early diagnosis and prompt intervention will improve clinical outcomes and avoid complications.

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Meckel’s diverticulum mesentery along with its band forming a hernial sac: A rare case of internal herniation

Cited by 9 publications

References 7 publications

Sudden Death Associated With Incarcerated Small Bowel Due to Mesodiverticular Band

Sudden Death Associated With Incarcerated Small Bowel Due to Mesodiverticular Band

Modified tension-free mesh repair used in rare case of Littre’s hernia

A Rare Case of Small Bowel Obstruction in a 15-Year-Old Girl: Internal Hernia Associated with Meckel\'s Diverticulum

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