TY - JOUR
T1 - Torsion of meckel's diverticulum following an internal hernia due to mesodiverticular band
AU - Matsumoto, Toshifumi
AU - Hirashita, Teijiro
AU - Hara, Takao
AU - Kubo, Nobuhide
AU - Hiroshige, Shoji
AU - Orita, Hiroyuki
N1 - Publisher Copyright:
© 2014 The Japanese Society of Gastroenterological Surgery.
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2014
Y1 - 2014
N2 - We report a case of torsion of Meckel's diverticulum at the neck following an internal hernia due to mesodiverticularband. A 34-year-old man was admitted with a complaint of sudden onset of abdominal pain around the navel. Anabdominal CT scan showed an encapsulated fluid collection with an internal gas without a whirl sign of themesenterium. We performed laparotomy under the suspicion of intraabdominal abscess or localized torsion of thesmall intestine. An internal hernia without ischemia through a cord between the mesenterium and diverticulum wasfound. The internal hernia was easily released after dissection of the cord. The cord revealed a mesodiverticular bandon the tip of 7.5×4.5 cm Meckel's diverticulum on the ileum 90 cm proximal to the terminal ileum. The diverticulumhad become necrotic due to torsion clockwise by 360° at the neck. Segmental resection of the ileum including thediverticulum was performed. Torsion of Meckel's diverticulum at the neck is a relatively rare complication, and wefound 28 reports, including the present case, in Japanese literatures.
AB - We report a case of torsion of Meckel's diverticulum at the neck following an internal hernia due to mesodiverticularband. A 34-year-old man was admitted with a complaint of sudden onset of abdominal pain around the navel. Anabdominal CT scan showed an encapsulated fluid collection with an internal gas without a whirl sign of themesenterium. We performed laparotomy under the suspicion of intraabdominal abscess or localized torsion of thesmall intestine. An internal hernia without ischemia through a cord between the mesenterium and diverticulum wasfound. The internal hernia was easily released after dissection of the cord. The cord revealed a mesodiverticular bandon the tip of 7.5×4.5 cm Meckel's diverticulum on the ileum 90 cm proximal to the terminal ileum. The diverticulumhad become necrotic due to torsion clockwise by 360° at the neck. Segmental resection of the ileum including thediverticulum was performed. Torsion of Meckel's diverticulum at the neck is a relatively rare complication, and wefound 28 reports, including the present case, in Japanese literatures.
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U2 - 10.5833/jjgs.2013.0299
DO - 10.5833/jjgs.2013.0299
M3 - 学術誌
AN - SCOPUS:84923837789
VL - 47
SP - 783
EP - 789
JO - Japanese Journal of Gastroenterological Surgery
JF - Japanese Journal of Gastroenterological Surgery
SN - 0386-9768
IS - 12
ER -