Revista Cubana de Medicina Militar (Mar 2021)

Mechanical intestinal occlusion by Meckel's diverticulum in an adult

  • Yury Valle Lara,
  • Janny Aparicio Cáceres,
  • Darismel Rodríguez Navarro,
  • Mirkey Estrada Castillo,
  • Oscar Luis Jiménez Hernández,
  • Mireidys Quintana Ruiz

Journal volume & issue
Vol. 50, no. 1
pp. e0210774 – e0210774

Abstract

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Introduction: The incidence of Meckel's diverticulum in the general population is approximately 1 to 2 % and clinical manifestations are seen in only 20 % of these people. The diagnosis in the remaining 80 % is incidental and is made by surgical findings, reported in approximately 2 % of autopsies. Objective: To describe the clinical presentation and surgical characteristics of mechanical intestinal occlusion by Meckel's diverticulum in the adults. Clinical case: 54-year-old male patient who was attended with a painful abdominal condition and clinical elements of an occlusive syndrome. During surgery, a broad-based Meckel's diverticulum was found as a point of attachment, and small intestine volvulus. A terminal resection and anastomosis was performed in one plane. Postoperative evolution was satisfactory. Conclusions: Mechanical intestinal occlusion secondary to Meckel's diverticulum is a rare cause of occlusive syndrome that must be taken into account in surgical practice.

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