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A case report of small bowel occlusion due to Meckel diverticulum causing a life-threatening condition

INTRODUCTION AND IMPORTANCE: Meckel's diverticulum is a common congenital abnormality. In this study, we reported a case of small bowel occlusion due to Meckel's diverticulum causing a small bowel obstruction and a life-threatening condition. CASE PRESENTATION: 28-year-old man complaining...

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Autores principales: Chaouch, Mohamed Ali, Abdelali, Mabrouk, Hammouda, Seifeddine Ben, Zayati, Mohamed, Taieb, Ahmed Hadj, Noomen, Faouzi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10667897/
https://www.ncbi.nlm.nih.gov/pubmed/37883867
http://dx.doi.org/10.1016/j.ijscr.2023.108982
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author Chaouch, Mohamed Ali
Abdelali, Mabrouk
Hammouda, Seifeddine Ben
Zayati, Mohamed
Taieb, Ahmed Hadj
Noomen, Faouzi
author_facet Chaouch, Mohamed Ali
Abdelali, Mabrouk
Hammouda, Seifeddine Ben
Zayati, Mohamed
Taieb, Ahmed Hadj
Noomen, Faouzi
author_sort Chaouch, Mohamed Ali
collection PubMed
description INTRODUCTION AND IMPORTANCE: Meckel's diverticulum is a common congenital abnormality. In this study, we reported a case of small bowel occlusion due to Meckel's diverticulum causing a small bowel obstruction and a life-threatening condition. CASE PRESENTATION: 28-year-old man complaining of abdominal pain for 3 days. The physical examination found the patient appeared profusely unwell with a blood pressure of 80/40 mmHg. The abdominal examination found abdominal rigidity suggesting peritonitis. The patient's C-reactive protein was 210 mg/l with normal white blood cell count. Consequently, the patient was operated on using a laparotomy. A mechanical bowel obstruction due to a gangrenous Meckel's diverticulum was confirmed during the operation. Meckel's diverticulitis with the tip attached to the ileal mesentery through a band. A section of the band was performed followed by a resection of the Meckel's diverticulum and an ileo-ileal anastomosis. The postoperative follow-up was uneventful. Case discussion: Meckel's diverticulum results from yolk sac persistence during embryonic development, often remaining asymptomatic. However, it can lead to symptoms like abdominal pain, diarrhoea, and fever when inflamed or infected. Treatment involves surgery (diverticulectomy) for severe cases with complications, with good prognosis but associated surgical risks. CONCLUSION: The diverticulum can present a life-threatening condition. The treatment is essentially surgical. This surgery should be performed emergently to enhance the prognosis.
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spelling pubmed-106678972023-10-24 A case report of small bowel occlusion due to Meckel diverticulum causing a life-threatening condition Chaouch, Mohamed Ali Abdelali, Mabrouk Hammouda, Seifeddine Ben Zayati, Mohamed Taieb, Ahmed Hadj Noomen, Faouzi Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Meckel's diverticulum is a common congenital abnormality. In this study, we reported a case of small bowel occlusion due to Meckel's diverticulum causing a small bowel obstruction and a life-threatening condition. CASE PRESENTATION: 28-year-old man complaining of abdominal pain for 3 days. The physical examination found the patient appeared profusely unwell with a blood pressure of 80/40 mmHg. The abdominal examination found abdominal rigidity suggesting peritonitis. The patient's C-reactive protein was 210 mg/l with normal white blood cell count. Consequently, the patient was operated on using a laparotomy. A mechanical bowel obstruction due to a gangrenous Meckel's diverticulum was confirmed during the operation. Meckel's diverticulitis with the tip attached to the ileal mesentery through a band. A section of the band was performed followed by a resection of the Meckel's diverticulum and an ileo-ileal anastomosis. The postoperative follow-up was uneventful. Case discussion: Meckel's diverticulum results from yolk sac persistence during embryonic development, often remaining asymptomatic. However, it can lead to symptoms like abdominal pain, diarrhoea, and fever when inflamed or infected. Treatment involves surgery (diverticulectomy) for severe cases with complications, with good prognosis but associated surgical risks. CONCLUSION: The diverticulum can present a life-threatening condition. The treatment is essentially surgical. This surgery should be performed emergently to enhance the prognosis. Elsevier 2023-10-24 /pmc/articles/PMC10667897/ /pubmed/37883867 http://dx.doi.org/10.1016/j.ijscr.2023.108982 Text en © 2023 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Chaouch, Mohamed Ali
Abdelali, Mabrouk
Hammouda, Seifeddine Ben
Zayati, Mohamed
Taieb, Ahmed Hadj
Noomen, Faouzi
A case report of small bowel occlusion due to Meckel diverticulum causing a life-threatening condition
title A case report of small bowel occlusion due to Meckel diverticulum causing a life-threatening condition
title_full A case report of small bowel occlusion due to Meckel diverticulum causing a life-threatening condition
title_fullStr A case report of small bowel occlusion due to Meckel diverticulum causing a life-threatening condition
title_full_unstemmed A case report of small bowel occlusion due to Meckel diverticulum causing a life-threatening condition
title_short A case report of small bowel occlusion due to Meckel diverticulum causing a life-threatening condition
title_sort case report of small bowel occlusion due to meckel diverticulum causing a life-threatening condition
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10667897/
https://www.ncbi.nlm.nih.gov/pubmed/37883867
http://dx.doi.org/10.1016/j.ijscr.2023.108982
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