scholarly journals Obstructed obturator hernia containing Meckel’s diverticulum: a case report

2018 ◽  
Vol 6 (1) ◽  
pp. 317 ◽  
Author(s):  
Sharad Jain ◽  
Motilal Maida ◽  
Sagar Manohar Patil
Keyword(s):  
Meckel’S Diverticulum ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Meckel's Diverticulum ◽  
Obturator Hernia ◽  
Mri Scan ◽  
Rare Type ◽  
Obturator Foramen ◽  
Polypropylene Sutures ◽  
Ct And Mri

An obturator hernia is a rare type of hernia and unusual cause of acute intestinal obstruction. The combination of diagnostic difficulty and high mortality rates make obturator hernia a serious diagnosis that can be potentially overlooked. We present a case of an elderly multiparous woman presented at the emergency room with complaints of abdominal distension, pain, vomiting and constipation for the last 4 days. On examination abdominal tenderness with distension was noted. Hernial orifices were normal. A CT and MRI reports were suggestive of right obstructed obturator hernia. Patient underwent emergency exploratory laparotomy. The hernial sac contained a narrow neck Meckel's diverticulum with perforation of proximal ileum. Resection of perforated segment along with Meckel's diverticulum was done and end to end ileo-ileal anastomosis was performed. Obturator foramen was closed with simple polypropylene sutures. CT/MRI scan is of immense help in preoperative diagnosis. Once the diagnosis is suspected or confirmed, patient should be taken for surgery as early as possible.

scholarly journals Obturator Hernia with Meckel’s Diverticulum Mimicking Incarcerated Small Bowel Hernia: A Case Report

2020 ◽  
Vol 17 (4) ◽  
Author(s):  
Won Jae Choi ◽  
Yoon Young Jung ◽  
Yongsang Kim ◽  
Dong Hee Kim
Keyword(s):  
Intestinal Obstruction ◽  
Meckel’S Diverticulum ◽  
Exploratory Laparotomy ◽  
Acute Intestinal Obstruction ◽  
Meckel's Diverticulum ◽  
Obturator Hernia ◽  
Abdominal Hernia ◽  
Imaging Features ◽  
Rare Type

: An obturator hernia is a rare type of abdominal hernia that can cause acute intestinal obstruction. Meckel’s diverticulum, the most common gastrointestinal tract malformation, is an uncommon cause of intestinal obstruction. The combination of obturator hernia and Meckel’s diverticulum is extremely rare. We report a rare case of obturator hernia with Meckel’s diverticulum in a 76-year-old woman who presented at the emergency room with complaints of abdominal pain. The diagnosis was confirmed by a computed tomography (CT) scan and exploratory laparotomy. Since obturator hernia is uncommon and rarely associated with Meckel’s diverticulum, we described the imaging features in this case study.

scholarly journals Bowel obstruction in obturator hernia: a challenging diagnosis

2021 ◽  
Vol 8 (7) ◽  
pp. 2212
Author(s):  
Nimisha Ramachandran Chemmangattuvalappil ◽  
Babu John Pulluvelil ◽  
Ravindran Chirukandath ◽  
Santosh Vijayan Thekoot ◽  
Bobby Sebastian
Keyword(s):  
Bowel Obstruction ◽  
Clinical Case ◽  
Surgical Intervention ◽  
Exploratory Laparotomy ◽  
Obturator Hernia ◽  
Rare Type ◽  
Obturator Foramen ◽  
Surgical Interventions ◽  
Emergency Surgical Intervention ◽  
Specific Symptoms

The obturator hernia is a rare pelvic hernia that presents as bowel obstruction caused by the presence of an intestinal segment, more often ileum passing through obturator foramen. This type of hernia accounts for 0.5-1.4% of all hernias. We reported the clinical case of a 74 year old woman with no previous surgical interventions, presented to ER with abdominal pain and distension, features of intestinal obstruction, which she had experienced for previous three days. A CT scan revealed a right jejunal, obstructed obturator hernia. The patient underwent an emergency surgical intervention with emergency exploratory laparotomy and repair. This case was presented as obturator hernia was a rare type of hernia due to its diagnosis, which is often unclear with non-specific pain radiating to legs mimicking neurological symptoms. A prompt suspect based for the non-specific symptoms is crucial for the diagnosis. Surgical management depends on early diagnosis and it is the only possible treatment for this pathology.

scholarly journals Meckel’s diverticulum with intraperitoneal hemorrhage in a child detected with screening laparoscopy: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kazuki Wakizaka ◽  
Lee Wee Khor ◽  
Kazuya Annen ◽  
Tsuyoshi Fukushima ◽  
Mitsuko Furuya ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Gastric Mucosa ◽  
Meckel’S Diverticulum ◽  
Lower Abdominal Pain ◽  
Abdominal Distension ◽  
Small Bowel Resection ◽  
Massive Bleeding ◽  
Meckel's Diverticulum ◽  
Ectopic Gastric Mucosa ◽  
Intraperitoneal Hemorrhage

Abstract Background The most common presentation of symptomatic Meckel’s diverticulum (MD) are intestinal obstruction, gastrointestinal hemorrhage, and inflammation of the MD with or without perforation. Intraperitoneal hemorrhage because of MD is extremely rare. We report a case of MD with intraperitoneal hemorrhage in a child detected with screening laparoscopy. Case presentation An 11-year-old girl presented to another hospital with lower abdominal pain and vomiting that lasted for 2 days. Acute appendicitis was suspected, and she was referred to our department. Abdominal enhanced computed tomography showed an abscess in the lower abdomen with ascites in the pelvis. She was diagnosed with a localized intra-abdominal abscess and the decision was made to treat with antibiotics. However, her abdominal pain worsened, with abdominal distension, tenderness and guarding. She was diagnosed with panperitonitis and the decision was made for surgery 5 h after admission. During surgery, laparoscopic observation from the umbilical region revealed 200 ml of fresh blood throughout the peritoneal cavity, originating from the mesentery of the ileum. MD was observed with bleeding from the surrounding mesentery. Small bowel resection was performed, and the patient was discharged on the 5th postoperative day. Pathological findings revealed an MD containing ectopic gastric mucosa and small intestinal ulcer perforation at the base of the MD. Conclusions We report an extremely rare case of an MD with intraperitoneal hemorrhage in a child. In pediatric cases, it is possible that perforation with ectopic gastric mucosa may cause massive bleeding because of rupture of the surrounding mesenteric blood vessels.

scholarly journals Meckel’s Diverticulitis. A rare cause of small bowel obstruction

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Andreas Skarpas ◽  
Petros Siaperas ◽  
Athanasios Zoikas ◽  
Emmanouela Griva ◽  
Ioannis Kyriazis ◽  
...  
Keyword(s):  
Bowel Obstruction ◽  
Meckel’S Diverticulum ◽  
Exploratory Laparotomy ◽  
Intestinal Wall ◽  
Complicated Diverticulitis ◽  
Meckel's Diverticulum ◽  
Bowel Loop ◽  
Distended Abdomen ◽  
Meckel’S Diverticulitis ◽  
Abdominal Quadrant

Abstract Meckel’s Diverticulum is a sac-like protrusion of the intestinal wall. It is located at 40–60 cm from the caecum. In the majority of cases, Meckel’s Diverticulum is clinically silent, while complications are found in 4% of the population. Complicated diverticulitis is associated with the formation of abscess, fistula, bowel obstruction or frank perforation. We present a case of a 63-year-old woman with a distended abdomen, pain in the lower right abdominal quadrant, fever 37°C and where emergency exploratory laparotomy revealed that obstruction was caused by a bowel loop trapped by a mesenterium-diverticular band.

scholarly journals Obturator hernia with Meckel's diverticulum in hernial sac

2014 ◽  
Vol 45 (2) ◽  
pp. 81-82
Author(s):  
Igor Nović ◽  
Jovica Mišić ◽  
Predrag Lazić
Keyword(s):  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Obturator Hernia ◽  
Hernial Sac

scholarly journals T-shaped Meckel’s diverticulum: a rare anatomical variant complicating small bowel volvulus

2018 ◽  
Vol 5 (8) ◽  
pp. 2929
Author(s):  
Vergis Paul ◽  
Ramu R. ◽  
Kocheril Sheryl Mathews ◽  
Ashly Thomas ◽  
Reesha P. A. ◽  
...  
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Terminal Ileum ◽  
Meckel’S Diverticulum ◽  
Exploratory Laparotomy ◽  
Meckel's Diverticulum ◽  
Anatomical Variant ◽  
Small Bowel Volvulus ◽  
Common Presentation ◽  
Congenital Diverticulum

The Meckel's diverticulum is a congenital diverticulum arising from the terminal ileum and is the unobliterated proximal portion of the vitellointestinal duct. Intestinal obstruction due to Meckel’s diverticulum is the most common presentation in adults and is the second most common presentation in children. We present a case of a 58-year-old gentleman presented with acute abdomen who was later found to have Giant T- shaped Meckel’s Diverticulum complicating small bowel volvulus on exploratory laparotomy. A T-shaped Meckel's diverticulum has not yet been described.

scholarly journals Large Enterolith Complicating a Meckel Diverticulum Causing Obstructive Ileus in an Adolescent Male Patient

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Constantinos Nastos ◽  
Dimitrios Giannoulopoulos ◽  
Ioannis Georgopoulos ◽  
Christos Salakos ◽  
Dionysios Dellaportas ◽  
...  
Keyword(s):  
Male Patient ◽  
Bowel Obstruction ◽  
Meckel’S Diverticulum ◽  
Pelvic Mass ◽  
Exploratory Laparotomy ◽  
Meckel's Diverticulum ◽  
Adolescent Male ◽  
Unique Case ◽  
First Case ◽  
Obstructive Ileus

We present a unique case of a 16-year-old male patient who was eventually diagnosed with a large enterolith arising from a Meckel’s diverticulum. The enterolith had caused intermittent intestinal symptoms for three years before resulting in small bowel obstruction requiring surgical intervention. Meckel’s enterolith ileus is very rare with only few cases described in the literature. To our knowledge, this is only the second case of Meckel’s enterolith which had caused intermittent symptoms over a period of time, before resulting in ileus, and the first case where the intermittent symptoms lasted several years before bowel obstruction. The patient had been evaluated with colonoscopy, computerized tomography (CT), and magnetic resonance imaging enterography (MRIE); a calcified pelvic mass had been found, but no further diagnosis other than calcification was established. The patient presented at our emergency department, with symptoms of obstructive ileus and underwent exploratory laparotomy, where a large enterolith arising from a Meckel’s diverticulum (MD) was identified, causing the obstruction. A successful partial enterectomy, enterolith removal, and primary end-to-end anastomosis took place; the patient was permanently relieved from his long-standing symptoms. Consequently, complications of Meckel’s diverticulum and enterolithiasis have to be included in the differential diagnosis of abdominal complaints.

scholarly journals Clinical Practice Recurrent Severe Obscure Gastro Intestinal- Bleeding in a 20 Year Old Man

2014 ◽  
Vol 11 (1) ◽  
pp. 81-85
Author(s):  
M Breidert ◽  
A Mandal ◽  
A Koller ◽  
N Huellebrand ◽  
B Malla
Keyword(s):  
Gastrointestinal Bleeding ◽  
Meckel’S Diverticulum ◽  
Exploratory Laparotomy ◽  
Meckel's Diverticulum ◽  
Intestinal Bleeding ◽  
Gi Bleeding ◽  
Double Balloon Enteroscopy ◽  
Morbus Osler ◽  
Massive Gastrointestinal Bleeding ◽  
Time Of Admission

Morbus Osler-Weber-Rendu syndrome also known as Hereditary hemorrhagic telangiectasia (HHT) and Meckel’s diverticulum is a rare combination disorder. Our case presented with the recurrent obscure gastrointestinal (GI) bleeding for several years. He came with a massive active lower gastrointestinal bleeding. Ultimatively, he underwent an exploratory laparotomy along with intraoperative colonoscopy. A Meckel’s diverticulum in combination with multiple erosions was found as a probable cause of the massive gastrointestinal bleeding. An ileo-caeacal resection had been performed and by the pathologist multiple telangiectasias in the resected ileum were established. Blood was sent for genetics and was negative for ENG, ALK-1, and SMAD-4 genes. The patient was discharged after 10 days from time of admission and is under regular follow up without any further bleeding. In this case, despite sophisticated techniques for investigations the cause of the GI-bleeding with several esophagogastroduodenoscopies and colonoscopies, mesenteric angiography and finally an oral double balloon enteroscopy was misdiagnosed till the intra operative endoscopy showed a middle GI-bleeding. The management for obscure GI-bleeding is discussed for countries with lower medical facilities like Nepal in our case with Morbus Osler-Weber-Rendu syndrome. DOI: http://dx.doi.org/10.3126/kumj.v11i1.11034 Kathmandu University Medical Journal Vol.11(1) 2013: 81-85

CT Findings in Obturator Hernia with Meckel’s Diverticulum—A Case Report

2008 ◽  
Vol 13 (3) ◽  
pp. 576-577 ◽  
Author(s):  
Aijaz Ahmad Hakeem ◽  
Feroze Shaheen ◽  
Hakim Shafi ◽  
Tariq A. Gojwari ◽  
Shubana Rasool
Keyword(s):  
Case Report ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Obturator Hernia ◽  
Ct Findings

scholarly journals Pneumoperitoneum in a Micropremie: Not Always NEC

2012 ◽  
Vol 2012 ◽  
pp. 1-2
Author(s):  
Ahmed Khan ◽  
Koert de Waal
Keyword(s):  
Surgical Intervention ◽  
Meckel’S Diverticulum ◽  
Abdominal Distension ◽  
Good Prognosis ◽  
Meckel's Diverticulum ◽  
Abdominal Radiography ◽  
Rare Presentation ◽  
Free Air ◽  
Female Baby ◽  
Small Perforation

Pneumoperitoneum in the newborn is an acute surgical emergency requiring immediate surgical intervention to ensure survival. It refers to radiological evidence of rupture of an air-containing viscus with resultant soiling of the peritoneal cavity. A female baby was born preterm at 29 weeks with birth weight of 650 grams. She developed abdominal distension on day 6, and abdominal radiography revealed presence of free air in the peritoneum. She proceeded for a laparotomy, and intraoperative findings revealed blood in the peritoneum with an area of inflammation and a small perforation. About 5 cm of the inflamed bowel was resected, and an end to end anastomosis performed. The histopathology of the specimen was consistent with Meckel's diverticulum. Symptomatic Meckel's diverticulum is usually seen in the first two years of life, and perforation is a rare presentation. Perforated Meckel's diverticulum in a premature newborn is very rare, and a review of literature reveals only one other reported case. Newborn Meckel's perforation cases often mimic necrotizing enterocolitis, although many present without any feature of peritonitis. Establishing a preoperative diagnosis of perforated Meckel's is difficult and may not be essential as the treatment remains the same. However, prompt surgical intervention confers a good prognosis in neonates with isolated perforated Meckel's diverticulum.

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