Volvular small bowel obstruction secondary to adherence of a Meckel's diverticulum at a previous umbilical laparoscopic port site.
This is a case of an otherwise asymptomatic Meckel's diverticulum, which became fibrously adherent to a previous umbilical laparoscopic port site, causing volvulus and small bowel obstruction in a pediatric patient. The diverticulum was diagnosed and resected laparoscopically, remaining bowel viability was maintained, and the child recovered without further sequelae. This complication, though rare, should be considered in the differential diagnosis when a child presents with abdominal pain after undergoing previous laparoscopic surgery. More important, this supports the consideration for the resection of asymptomatic Meckel's diverticulm when discovered incidentally, which is currently a controversial topic.
Fontenot
Bennett B
BB
Department of Surgery, Medical University of South Carolina Children's Hospital, Charleston, South Carolina, USA.
Deutmeyer
Cindy M
CM
Feldman
Mark E
ME
Hebra
André
A
D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D045822:Intestinal Volvulus / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications* / Q000601:surgery; D014057:Tomography, X-Ray Computed