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Vol. 7, No. 1, 2013
Issue release date: January – April
Open Access Gateway
Case Rep Gastroenterol 2013;7:14–18
(DOI:10.1159/000346313)
Published: January 2013

Torsion of Meckel’s Diverticulum in a Child

Nose S.a · Okuyama H.a · Sasaki T.a · Nishimura M.b
Departments of aPediatric Surgery and bPediatrics, Hyogo College of Medicine, Nishinomiya, Japan

Abstract

Meckel’s diverticulum (MD) is a common congenital anomaly of the gastrointestinal tract, the majority of cases of which are clinically silent. Patients with asymptomatic MD can unexpectedly develop acute abdominal pain. Making a diagnosis of MD is often difficult due to the lack of specific symptoms caused by this condition. Diagnostic laparotomy can be useful for making an accurate and prompt diagnosis of complicated MD. We herein describe a pediatric case of torsion of a MD in whom we performed laparoscopic-assisted emergency surgery. The patient was an 11-year-old male who developed sudden severe right lower abdominal pain. Clinical and laboratory findings were suggestive of appendicitis, however computed tomography scans showed a large cystic mass in the pelvis. Exploratory laparoscopy led to a diagnosis of torsion of a MD, and wedge resection of the gangrenous MD was performed through an umbilical port incision. The patient’s postoperative course was uneventful. We conclude that diagnostic laparoscopy followed by laparoscopy-assisted Meckel’s diverticulectomy via an umbilical incision is useful in the treatment of acute abdomen caused by MD.

 goto top of outline Author Contacts

Satoko Nose
Department of Pediatric Surgery, Hyogo College of Medicine
1-1, Mukogawa, Nishinomiya, 663-8501 (Japan)
E-Mail noses@hyo-med.ac.jp


 goto top of outline Article Information

Published online: January 3, 2013
Number of Print Pages : 5
Number of Figures : 3,


 goto top of outline Publication Details

Case Reports in Gastroenterology

Vol. 7, No. 1, Year 2013 (Cover Date: January - April)

Journal Editor: Urrutia R. (Rochester, Minn.), Lomberk G. (Rochester, Minn.)
ISSN: 1662-0631 (Print), eISSN: 1662-0631 (Online)

For additional information: http://www.karger.com/CRG


Open Access License / Drug Dosage

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