Published online Feb 27, 2016. doi: 10.4240/wjgs.v8.i2.169
Peer-review started: April 30, 2015
First decision: June 24, 2015
Revised: October 8, 2015
Accepted: November 3, 2015
Article in press: November 4, 2015
Published online: February 27, 2016
A 26-year-old woman was referred to our hospital because of abdominal distention and vomiting. Contrast-enhanced computed tomography showed a blind loop of the bowel extending to near the uterus and a fibrotic band connecting the mesentery to the top of the bowel, suggestive of Meckel’s diverticulum (MD) and a mesodiverticular band (MDB). After intestinal decompression, elective laparoscopic surgery was carried out. Using three 5-mm ports, MD was dissected from the surrounding adhesion and MDB was divided intracorporeally. And subsequent Meckel’s diverticulectomy was performed. The presence of heterotopic gastric mucosa was confirmed histologically. The patient had an uneventful postoperative course and was discharged 5 d after the operation. She has remained healthy and symptom-free during 4 years of follow-up. This was considered to be an unusual case of preoperatively diagnosed and laparoscopically treated small-bowel obstruction due to MD in a young adult woman.
Core tip: Meckel’s diverticulum (MD) is a rare innate anomaly of the gastrointestinal tract caused by incomplete obliteration of the omphalomesenteric duct. It sometimes causes small bowel obstruction. However, as it symptoms are so non-specific, it may be difficult to make a correct diagnosis without exploratory laparotomy. This is a successful case of small-bowel obstruction caused by MD that was diagnosed preoperatively using multi-dimensional contrast-enhanced computed tomography and treated by elective laparoscopic surgery.