Intestinal knot in acute Meckel’s diverticulitis

Don Evana Ezrien and Mohd Firdaus Mohd Hayati and Nik Amin Sahid Nik Lah and Andee Dzulkarnaen Zakaria (2019) Intestinal knot in acute Meckel’s diverticulitis. BMJ Case Reports, 12. pp. 1-2. ISSN 1757-790X

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Abstract

A 47-year-old man, with no past surgical history presented to the emergency department with colicky abdominal pain since 2 days prior to the admission. It was associated with abdominal distension, vomiting and no bowel output. The pain became worsened which resulted in his immediate hospital visit. On examination, the abdomen was peritonitic. The blood investigations showed marked leucocytosis. There were signs of small blood obstruction on abdominal radiograph but no free gas on erect chest radiograph. He was immediately rushed to the emergency operation theatre and exploratory laparotomy was performed. Upon entry, there was gangrenous small bowel caused by an ileo-ileal knot with Meckel’s diverticulitis, which was adjacent to the caecum. We had to proceed with limited right hemicolectomy and functional end-to-end anastomosis using linear stapler. The recovery process was uneventful. Patient was discharged home after a week. On follow-up at 3 months, he was well with no complications. The histopathological examination was consistent with ischaemic bowel.

Item Type:	Article
Keyword:	Intestinal knot , Diagnosis , Acute abdomen , Meckel’s diverticulum
Subjects:	R Medicine > RD Surgery > RD1-811 Surgery > RD520-599.5 Surgery by region, system, or organ
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	SAFRUDIN BIN DARUN -
Date Deposited:	11 Oct 2022 12:37
Last Modified:	11 Oct 2022 12:37
URI:	https://eprints.ums.edu.my/id/eprint/34365

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