[A rare cause of neonatal occlusion by a palpable abdominal mass: Meckel's diverticulum].
The authors report an unusual case of newborn obstruction by Meckel's diverticulum. Symptoms were repeated vomiting and a rounded mass was palpated in right lower quadrant. This mass looked like a fecalith on X Rays which also showed dilated gas filled loops of intestine. A barium enema showed no trouble of rotation, a good filling of last loops of small bowel, then a large kind of pocket, filled from the bowel. Operation discovered a huge (6 x 5 cm) Meckel's diverticulum compressing small intestine and pushing the cecum towards the upper quadrant. Treatment was ileal resection followed by end to end anastomosis. A very few newborn obstructions by Meckel's diverticulum were published; mechanisms are intussusception, volvulus, herniation. No similar case as reported was found in literature.
Leconte
D
D
Service de chirurgie infantile, Centre Hospitalier R. Ballanger, Aulnay-sous-Bois.
Van Kote
G
G
Questiaux
E
E
Bader
R
R
Charbonnel
E
E
Khoury
R
R
D000367:Age Factors; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007231:Infant, Newborn; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications*; D011859:Radiography
Une cause exceptionnelle d'occlusion néo-natale avec masse abdominale palpable: le diverticule de Meckel.