title: Unique presentation of Meckel diverticulum in the form of cocoon managed successfully by laparoscopic surgery.
abstract: We report a case of complicated Meckel diverticulum presenting with subacute intestinal obstruction in a 21-year-old man managed successfully by laparoscopic surgery. Despite a diagnostic laparoscopy and laparotomy performed elsewhere in the past, main pathology was missed. Diagnostic laparoscopy in our center revealed a fusiform mass arising from terminal ileum, which was treated by laparoscopic-assisted resection and end-to-end ileo-ileal anastomosis. Gross and microscopic examination revealed an encapsulated localized cocoon containing 40 cm of ileum entangled around an inflamed Meckel diverticulum. His intestinal obstruction and hematochezia got relieved.
authors.affiliation: Department of Minimal Access, Metabolic & Bariatric Surgery, Prime Hospitals, Andhra Pradesh, India. amar.venn@gmail.com
authors.forename: Vennapusa
authors.initials: V
authors.lastname: Amar
authors.forename: Karuppusamy Sendhil
authors.initials: KS
authors.lastname: Kumar
authors.forename: Panchangam Ramakanth
authors.initials: PR
authors.lastname: Bhargav
authors.forename: Bharathi
authors.initials: B
authors.lastname: Vennapusa
mesh_terms: D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology / Q000601:surgery*; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008467:Meckel Diverticulum / Q000601:surgery*; D010538:Peritonitis / Q000601:surgery; D055815:Young Adult