Meckel's diverticulum strangulated in an umbilical hernia.
BACKGROUND
Strangulated Meckel's diverticulum (MD) in an umbilical hernia (UH) is a rare event. We present herein a case of strangulated MD in UH in a child.


METHODS
An 18-month girl was admitted with clinical features suggesting upper intestinal strangulation since seven days. Many attempts of reduction were done before admission. She was resuscitated and had exploratory laparotomy, which revealed the hernia sac containing a completely gangrenous MD. She had bowel resection and had an uneventful postoperative period.


CONCLUSIONS
An MD may be the content of a strangulated UH. Bowel resection of the segment bearing the diverticulum is advisable if the latter is gangrenous.
Komlatsè
Akakpo-Numado Gamedzi
AN
Department of Paediatric Surgery, CHU Tokoin, BP 57 Lome, Togo. akanugregoire@yahoo.fr
Komla
Gnassingbe
G
Komla
Attipou
A
Azanledji
Boume Missoki
BM
Abossisso
Sakiye Kodjo
SK
Hubert
Tekou
T
D005260:Female; D006554:Hernia, Umbilical / Q000150:complications* / Q000601:surgery*; D006801:Humans; D007223:Infant; D008467:Meckel Diverticulum / Q000150:complications* / Q000601:surgery*; D016896:Treatment Outcome