Laparoscopic Management of Small Bowel Obstruction Due to Meckel’s Diverticulum in the Adult.

Alex Gandsas, MD, Adeshola Fakulujo, MD, Wanda Good, DO, Sohail Mamdani, DO, Abier Abdelnaby, MD. UMDNJ-SOM

 

Introduction:
Small bowel obstruction in the adult as a result of a Meckel’s diverticulum is an uncommon surgical condition that carries high morbidity if treatment is not rendered in a timely fashion.

Case presentations and Methods:
We report a case of a 39-year-old male who was admitted to the emergency room with a 3 day history of left lower abdominal pain. Physical exam, as well as images, was consistent with small bowel obstruction. A diagnostic laparoscopy demonstrated a Meckel’s diverticulum acting as a fixed point strangulating the ileum, thus, compromising the blood supply of the affected segment. A diverticulectomy was carried out and conservative approach was chosen regarding the affected small bowel.

Results:
Patient recovered with no complications and was discharged on the second post operative day.

Conclusion:
This video presentation underscores the importance of including a complication of a Meckel’s diverticulum as part of a differential diagnosis of bowel obstruction in a male adult with no previous history of abdominal surgery.


Session Number: Poster – Poster Presentations
Program Number: P251
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