Torsion of meckel's diverticulum following an internal hernia due to mesodiverticular band

Toshifumi Matsumoto, Teijiro Hirashita, Takao Hara, Nobuhide Kubo, Shoji Hiroshige, Hiroyuki Orita

研究成果: ジャーナルへの寄稿学術誌査読


We report a case of torsion of Meckel's diverticulum at the neck following an internal hernia due to mesodiverticularband. A 34-year-old man was admitted with a complaint of sudden onset of abdominal pain around the navel. Anabdominal CT scan showed an encapsulated fluid collection with an internal gas without a whirl sign of themesenterium. We performed laparotomy under the suspicion of intraabdominal abscess or localized torsion of thesmall intestine. An internal hernia without ischemia through a cord between the mesenterium and diverticulum wasfound. The internal hernia was easily released after dissection of the cord. The cord revealed a mesodiverticular bandon the tip of 7.5×4.5 cm Meckel's diverticulum on the ileum 90 cm proximal to the terminal ileum. The diverticulumhad become necrotic due to torsion clockwise by 360° at the neck. Segmental resection of the ileum including thediverticulum was performed. Torsion of Meckel's diverticulum at the neck is a relatively rare complication, and wefound 28 reports, including the present case, in Japanese literatures.

ジャーナルJapanese Journal of Gastroenterological Surgery
出版ステータス出版済み - 2014

!!!All Science Journal Classification (ASJC) codes

  • 外科
  • 消化器病学