Erschienen in:
08.11.2019 | Case Report
Persistence of a vitelline artery on a Meckel’s diverticulum as a cause of bowel infarction
verfasst von:
Mauricio Gonzalez-Urquijo, Matilde Espino-Rodriguez, Andrea Romero-Davila, Mario Rodarte-Shade, Ger ardo Gil-Galindo
Erschienen in:
Clinical Journal of Gastroenterology
|
Ausgabe 3/2020
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Abstract
Meckel’s diverticulum is a congenital anomaly, resulting from incomplete obliteration of the most proximal portion of the omphalomesenteric duct. It generally remains silent, but life-threatening complications may arise in 4–6% of the patients. We present a case of a 16-year-old male, who arrived at the emergency room with crampy abdominal pain, nausea, and vomiting, suggestive of acute appendicitis. Surgical exploration revealed 150 cm of infarcted small bowel, secondary to a mesodiverticular band of a Meckel’s diverticulum at the site of obstruction. The ischemic small bowel with Meckel’s diverticulum was resected, and an ileo-ileal anastomosis was carried out. The postoperative course was uneventful, and the patient was discharged on the fifth postoperative day. He was seen 12 months after his initial surgery, with a favorable outcome.