Torsion of meckel's diverticulum following an internal hernia due to mesodiverticular band

Toshifumi Matsumoto, Teijiro Hirashita, Takao Hara, Nobuhide Kubo, Shoji Hiroshige, Hiroyuki Orita

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Abstract

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.

Original languageJapanese
Pages (from-to)783-789
Number of pages7
JournalJapanese Journal of Gastroenterological Surgery
Volume47
Issue number12
DOIs
Publication statusPublished - Jan 1 2014

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All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

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