BOWEL OBSTRUCTION IN MECKEL’S DIVERTICULUM: case report

• Autor(a) principal: Curvello, Camilla Farias Amorim
• Data de Publicação: 2016
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Científica da Faculdade de Medicina de Campos
• Texto Completo: https://www.fmc.br/ojs/index.php/RCFMC/article/view/10
• topic: obstrução intestinal; divertículo; Meckel; intestinal obstruction; diverticulum; Meckel

Introduction: Meckel’s diverticulum is an intestinal malformation characterized by diverticulum located in the antimesenteric border of the ileum about 40cm from the cecal ileum valve, and represents the remaining portion of the proximal omphalomesenteric conduit. Its lumen presents ectopic mucous, mainly stomach or pancreas, and the complications often associated with these ectopias. Objective: To report a case of intestinal obstruction due to Meckel’s diverticulum, alerting the medical community about its importance, given that the disease has asymptomatic course, and that lack of knowledge about the disease can delay diagnosis and result in severe complications. Descriptions: JGJ, 79, female, entered the emergency room with abdominal pain without eliminating flatus or stool for two weeks, distended abdomen and fecaloid vomiting, multiple infections by Ascaris. CT of the abdomen and pelvis showed inguinal hernia left with slender handle inside, with distension. She underwent exploratory laparotomy infraumbilical. At the opening of the sac, met diverticular aspect of structure antimesenteric border of the ileum. Conclusions: The structure was classified as Meckel’s diverticulum. Performed segmentectomy of about 15cm, followed by intestinal anastomosis in two planes. No other injuries, closure plans without screen. The patient received prophylactic antibiotics, and discharged on the fourth postoperative day.