| A Case of Recurrent Small Bowel Obstruction caused by a Mesodiverticular Band of Meckel Diverticulum |
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Won Chan Kang1, Yoon Jeong Lee1, Soo Jeong Kim1, Se Woong Kwon1, In Kyung Seong1, Eun Joo Jeong2, Sung Noh Hong3 |
1Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
2Department of General Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
3Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea |
| 메켈 게실의 장간막게실띠로 유발된 반복적인 소장 폐쇄 |
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강원찬1, 이윤정1, 김수정1, 권세웅1, 성인경1, 정은주2, 홍성노3 |
1건국대학교 의학전문대학원 건국대학교병원 내과
2건국대학교 의학전문대학원 건국대학교병원 외과
3성균관대학교 의과대학 삼성서울병원 내과 |
Correspondence:
Sung Noh Hong, Tel: +82-2-3410-3409, Fax: +82-2-3410-6983, Email: gisnhong@gmail.com
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Received: 6 February 2014 • Revised: 19 March 2014 • Accepted: 10 July 2014 |
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| Abstract |
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Meckel diverticulum is the most common congenital anomaly of the gastrointestinal system. Although it is commonly asymptomatic in adults, Meckel diverticulum can lead to intussusception, volvulus, inflammatory adhesions, or an internal hernia. However, small bowel obstruction due to a mesodiverticular band of Meckel diverticulum is rare. We report a case of a 24-year-old man who complained of abdominal pain and vomiting caused by recurrent small bowel obstruction. He had undergone no previous abdominal surgery. Abdominal computed tomography revealed a transition point at the mid-to-distal ileum. To identify the cause of the obstruction, we performed single-balloon enteroscopy, which revealed extrinsic compression at the proximal ileum 100 cm from the ileocecal valve. After marking the obstruction site, subsequent laparoscopy revealed a Meckel diverticulum with a mesodiverticular band, which entrapped a bowel loop and caused the recurrent small bowel obstruction. The patient was treated successfully with laparoscopic diverticulectomy. |
| Key Words:
Abdominal pain; Meckel diverticulum; Intestinal obstruction; Laparoscopy |
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