[Short bowel syndrome due to a severe complication related to Meckel's diverticulum].
A 17 years old patient, admitted and operated in emergency with acute diffuse peritonitis which had been had the onset four days before. During surgery, a huge volvulus of the small intestine is revealed due to an adherence between Meckel's diverticulum and mesentery, with large intestinal necrosis. Extended enterectomy is performed with jejunostomy. The postoperative outcome is difficult due to severe metabolic insufficiencies which are managed by intensive therapy measures. The patient is readmitted to surgery and an anastomosis between 30 cm jejunum and 20 cm ileum is performed. Then the outcome is good, with digestive function recovery and weight gain. Unfortunately, the patient died one year after surgery, due to severe haematological and neurological disorders caused by the mal-absorbtion syndrome.
Palade
R
R
Clinica Chirurgie I, Spitalul Universitar de Urgentă, Bucureşti. radupalade@yahoo.com
Vasile
D
D
Tomescu
M
M
Suliman
E
E
Popa
D
D
D000293:Adolescent; D000714:Anastomosis, Surgical / Q000379:methods; D004766:Enterostomy / Q000379:methods; D017809:Fatal Outcome; D006801:Humans; D045822:Intestinal Volvulus / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications* / Q000601:surgery; D010538:Peritonitis / Q000150:complications* / Q000601:surgery