Unique presentation of Meckel diverticulum in the form of cocoon managed successfully by laparoscopic surgery
- Resource Type
- Authors
- P. R. K. Bhargav; Karuppusamy Sendhil Kumar; Bharathi Vennapusa; Vennapusa Amar
- Source
- Surgical laparoscopy, endoscopypercutaneous techniques. 22(4)
- Subject
- Laparoscopic surgery
Male
medicine.medical_specialty
medicine.medical_treatment
Ileum
Anastomosis
Peritonitis
digestive system
Young Adult
Laparotomy
medicine
Terminal ileum
Humans
business.industry
Ileal Diseases
Hematochezia
Surgery
Meckel Diverticulum
medicine.anatomical_structure
Laparoscopy
Presentation (obstetrics)
medicine.symptom
business
Gastrointestinal Hemorrhage
Intestinal Obstruction
- Language
- ISSN
- 1534-4908
We report a case of complicated Meckel diverticulum presenting with subacute intestinal obstruction in a 21-year-old man managed successfully by laparoscopic surgery. Despite a diagnostic laparoscopy and laparotomy performed elsewhere in the past, main pathology was missed. Diagnostic laparoscopy in our center revealed a fusiform mass arising from terminal ileum, which was treated by laparoscopic-assisted resection and end-to-end ileo-ileal anastomosis. Gross and microscopic examination revealed an encapsulated localized cocoon containing 40 cm of ileum entangled around an inflamed Meckel diverticulum. His intestinal obstruction and hematochezia got relieved.