Laparoscopic resection of a bleeding meckel s diverticulum: a case report and review of the literature.
The preoperative diagnosis of Meckel's diverticulum in adults is uncommon, and even more infrequent is
the presentation of a bleeding Meckel's diverticulum after childhood. The case of a 22-year old, otherwise
healthy male is presented here. The diagnosis was made by barium examination of small bowel and
confirmed by diagnostic laparoscopy, followed by complete laparoscopic resection using an Endo-GIA
Stapler (United States Surgical Corp., Norwalk, Conn.]. Histopathological examination of the specimen
showed inflammed ileal mucosa with hemorrhages in several foci. The literature of Meckel's diverticula and
its complications are reviewed here. Based on data from the reviewed literature and our own experience, we
suggest that laparoscopic resection is the treatment of choice for Meckel's diverticulum, if it is diagnosed
preoperatively or during diagnostic laparoscopy. The procedure allows for a smooth postoperative course,
early discharge from the hospital, and arapid return to normal activity.
Bugát Pál University Teaching Hospital, Gyöngyös, Hungary.
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