Laparoscopic surgery for small-bowel obstruction caused by Meckel's diverticulum

作     者：Takatsugu Matsumoto Motoki Nagai Daisuke Koike Yukihiro Nomura Nobutaka Tanaka 

作者机构：Department of Gastroenterological SurgeryDokkyo Medical University Department of SurgeryAsahi General Hospital 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2016年第8卷第2期

页      面：169-172页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：Supported by Department of General Surgery Asahi General Hospital I-1326 Asahi-shi Chiba Japan 

主　　题：Surgery Human Meckel’s diverticulum Small-bowel obstruction Laparoscopic surgery 

摘      要：A 26-year-old woman was referred to our hospital because of abdominal distention and vomiting. Contrastenhanced computed tomography showed a blind loop of the bowel extending to near the uterus and a fibrotic band connecting the mesentery to the top of the bowel,suggestive of Meckel s diverticulum(MD) and a mesodiverticular band(MDB). After intestinal decompression,elective laparoscopic surgery was carried out. Using three 5-mm ports,MD was dissected from the surrounding adhesion and MDB was divided intracorporeally. And subsequent Meckel s diverticulectomy was performed. The presence of heterotopic gastric mucosa was confirmed histologically. The patient had an uneventful postoperative course and was discharged 5 d after the operation. She has remained healthy and symptom-free during 4 years of follow-up. This was considered to be an unusual case of preoperatively diagnosed and laparoscopically treated small-bowel obstruction due to MD in a young adult woman.