title: Ileal stricture following Meckel's diverticulitis: a rare cause of intestinal obstruction.
abstract: We report a very rare case of Meckel's diverticulitis with ileal stricture at the base of the diverticulum in a young adult as a cause of recurrent small bowel obstruction lasting for 7 years. None of the pre-operative investigations were able to diagnose the cause of obstruction. The patient had undergone appendicectomy 3 years ago but without any relief. Thereafter he was given a therapeutic trial of anti-tubercular drugs, but his symptoms rather worsened with this treatment. Finally, the diagnosis of Meckel's diverticulitis with ileal stricture was made on exploratory laparotomy. The patient recovered well following segmental ileal resection including the stricture and inflamed Meckel's diverticulum. This unusual case highlights that such a rare clinical entity should be considered as a differential diagnosis while dealing with cases of recurrent distal ileal obstruction so as to avoid misdiagnosis and mismanagement as happened in the present case.
authors.affiliation: Department of Surgery, Post Graduate Institute of Medical Sciences, Rohtak, 124001, Haryana, India. drsanjay.marwah@gmail.com.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Marwah
authors.affiliation: Department of Surgery, Post Graduate Institute of Medical Sciences, Rohtak, 124001, Haryana, India.
authors.forename: Priyanka
authors.initials: P
authors.lastname: Singla
authors.affiliation: Department of Pathology, Post Graduate Institute of Medical Sciences, Rohtak, 124001, Haryana, India.
authors.forename: Nisha
authors.initials: N
authors.lastname: Marwah
authors.affiliation: Department of Pathology, Post Graduate Institute of Medical Sciences, Rohtak, 124001, Haryana, India.
authors.forename: Sumiti
authors.initials: S
authors.lastname: Gupta
authors.affiliation: Department of Surgery, Post Graduate Institute of Medical Sciences, Rohtak, 124001, Haryana, India.
authors.forename: Vikram Pal
authors.initials: VP
authors.lastname: Singh
mesh_terms: D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D011859:Radiography; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D055815:Young Adult
keywords: Ileal stricture; Meckel’s diverticulum; Sub-acute intestinal obstruction