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CC BY 4.0 · European J Pediatr Surg Rep. 2020; 08(01): e59-e61
DOI: 10.1055/s-0040-1713902
Case Report

Laparoscopic Management of Mechanical Small Bowel Obstruction Secondary to Meckel's Diverticulum with a Double Basis. A Rare Anatomic Presentation

Aurora Mariani
1   Department of Paediatric Surgery, Hopital Femme Mere Enfant, Bron, Auvergne-Rhône-Alpes, France
,
Mohammed Siddiqui
2   Department of Pediatric Surgery, Robert-Debré Mother-Child University Hospital, Paris, Île-de-France, France
,
Nicolas Boulard
3   Department of Pediatric Surgery, Hopital Jean Minjoz, Besancon, France
,
Dominique Berrebi
4   Department of Pediatric Pathology, Robert-Debré Mother-Child University Hospital, Paris, Île-de-France, France
,
Arnaud Bonnard
5   Department of Pediatric Surgery and Urology, Robert-Debré University Hospital, Assistance-Publique Hôpitaux de Paris, Paris, France
6   Sorbonne Paris Cité, Universite Paris Diderot, UMR 1149 Inserm, Paris, Île-de-France, France
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Abstract

Meckel's diverticulum (MD) is the most common congenital abnormality of the gastrointestinal tract. Intestinal occlusion due to MD is a commonly observed consequence of intussusception or volvulus. Here, we report a case of an 11-year-old boy who presented to the emergency department with acute abdominal pain, bilious vomiting, and abdominal rebound tenderness. Computed tomography scan concluded a diagnosis of intestinal occlusion with no apparent cause. The patient was submitted to diagnostic laparoscopy, and mechanical occlusion by the permeable Meckel with double base was identified. A diverticulectomy by staplers was performed, and occlusion was alleviated. MD is a rare disease (for only 0.3–2.9% of the general population), and only 4.2 to 9% of patients diagnosed with MD have associated complications. MD can be a large base or a narrow base, with a mesodiverticular band but the diverticulum is usually a blind recess. In our case, the tube connected two intestinal segments. To the best of our knowledge, we have reported the first case of an MD-like permeable tube with a double basis.

Keywords

Meckel's diverticulum - minimal invasive surgery - laparoscopy - omphalomesenteric duct - intestinal obstruction


Publication History

Received: 12 February 2020

Accepted: 16 May 2020

Article published online:
23 November 2020

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