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Case Studies | General Surgery | India | Volume 11 Issue 11, November 2022

A Case of Bowel Obstruction due to Gangrenous Meckel's Diverticulum

Dr. Shaik Tauseef Ahmed | Dr. U. Jagadeeshwar | Dr. Pallaki Veera Reddy

Abstract: A 16-year-old male was admitted with complaints of abdominal pain, vomiting six episodes in the past 2 days, and abdominal distention for the past 1 day. On examination, the abdomen was soft and distended with diffuse tenderness Bowel sounds are absent. An X-ray of the erect abdomen showed dilated bowel loops with multiple air fluid levels noted. The diagnosis was made as a small bowel obstruction and the plan for emergency laparotomy was made. The abdomen is opened with a midline incision. A total of 200ml of toxic fluid was drained. An adhesive band formed between Meckel?s diverticulum and around the small bowel is attached to the peritoneum at umbilical level. The ileum and jejunum dilated. Gangrenous meckel's diverticulum of size 12 cm in length, 4 cm in breadth, and 60 cm from the ileocecal junction noted. Resection of Meckel?s diverticulum including 15cms of ileum done and end-to-end ileo-ileal anastomosis done. The abdomen is closed after keeping bilateral flank drains. The postoperative period was uneventful. The drain was removed on the ninth day, and the patient was discharged on the fifteenth POD after suture removal.

Keywords: Obstruction; Gangrenous meckel's diverticulum, end to end anastomosis

Edition: Volume 11 Issue 11, November 2022,

Pages: 313 - 314