All Title Author
Keywords Abstract

Laparoscopic Surgery for Meckel’s Diverticulum Presenting as Small Bowel Obstruction: A Case Report

DOI: 10.4236/ss.2016.711067, PP. 505-510

Keywords: Laparoscopy, Meckel’s Diverticulum, Small Bowel

Full-Text   Cite this paper   Add to My Lib


Meckel’s diverticulum is not commonly encountered surgical entity and presents unique challenges for a pediatric surgeon, as it is prone to varied complications. A 14-year-old boy was admitted with us with a 48-hour history of lower abdominal pain and multiple episodes of vomiting. Radiological imaging studies revealed a high-grade partial small bowel obstruction. A fleeting conservative management was tried. The diagnostic laparoscopy revealed a small bowel obstruction secondary to a Meckel’s diverticulum. The diverticulum was resected using an endovascular GIA stapler. The patient was discharged on postoperative day four, tolerating a regular diet. Laparoscopy is a useful diagnostic and therapeutic means for a patient with a small bowel obstruction due to an uncertain etiology.


[1]  Shalaby, R.Y., Soliman, S.M., Fawy, M. and Samaha, A. (2005) Laparoscopic Management of Meckel’s Diverticulum in Children. Journal of Pediatric Surgery, 40, 562-567.
[2]  Sanders, L.E. (1995) Laparoscopic Treatment of Meckel’s Diverticulum. Surgical Endoscopy, 9, 724-727.
[3]  Teitelbaum, D.H., Polley, T.Z. and Obeid, F. (1994) Laparoscopic Diagnosis and Excision of Meckel’s Diverticulum. Journal of Pediatric Surgery, 29, 495-497.
[4]  Adams, S., Wilson, T. and Brown, A.R. (2003) Laparoscopic Management of Acute Small Bowel Obstruction. Aust NZ J Surg, 63, 39-41. Journal of the Society of Laparoendoscopic Surgeons, 7, 253-255.
[5]  Attwood, S.E.A., McGrath, J., Hill, A.D.K., et al. (1992) Laparoscopic Approach to Meckel’s Diverticulectomy. British Journal of Surgery, 79, 211.
[6]  Ng, W.T., Wong, M.K., Kong, C.K. and Chan, Y.T. (1992) Laparoscopic Approach to Meckel’s Diverticulectomy. British Journal of Surgery, 79, 973-974.
[7]  Altinli, E., Pekmezci, S., Gorgun, E. and Sirin, F. (2002) Laparoscopy-Assisted Resection of Complicated Meckel’s Diverticulum in Adults. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 12, 190-194.
[8]  Lee, K.H., Yeung, C.K., Tam, Y.H., Ng, W.T. and Yip, K.F. (2000) Laparoscopy for Definitive Diagnosis and Treatment of Gastrointestinal Bleeding of Obscure Origin in Children. Journal of Pediatric Surgery, 35, 1291-1293.


comments powered by Disqus