Torsion of Atypical Meckel’s Diverticulum Treated by Laparoscopic-Assisted Surgery

Introduction. Meckel’s diverticulum (MD) is the most common congenital anomaly of the intestine, with an incidence of 2~4%. Of those, only 2% of patients with MD are symptomatic. Torsion of MD is extremely rare, and only a dozen cases have been previously reported. Case Report. The patient was a 49-...

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Published in:Case reports in medicine 2017-01, Vol.2017 (2017), p.1-5
Main Authors: Komiyama, Akira, Kawabe, Akihiro, Isogaki, Jun, Okumura, Takuya, Yajima, Kiyoshige, Hasegawa, Yuto, Yamashita, Kimihiro, Kohga, Atsushi, Suzuki, Kenji
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Language:English
Subjects:
Abdomen
Abnormalities
Case Report
CT imaging
Cysts
Gastrointestinal system
Laparoscopic surgery
Laparoscopy
Morphology
Patients
Small intestine
Surgery
Tomography
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creator Komiyama, Akira
Kawabe, Akihiro
Isogaki, Jun
Okumura, Takuya
Yajima, Kiyoshige
Hasegawa, Yuto
Yamashita, Kimihiro
Kohga, Atsushi
Suzuki, Kenji
description Introduction. Meckel’s diverticulum (MD) is the most common congenital anomaly of the intestine, with an incidence of 2~4%. Of those, only 2% of patients with MD are symptomatic. Torsion of MD is extremely rare, and only a dozen cases have been previously reported. Case Report. The patient was a 49-year-old male who presented to our emergency room with a chief complaint of lower abdominal pain. Computed tomography imaging revealed an irregular polycystic mass connected to the small intestine that measured 7.5 cm in a diameter. A laparoscopic-assisted partial resection of the jejunum was performed. The lesion was found to have caused torsion and was located 130 cm from the ileocecal valve. The specimen was polycystic in appearance and showed communicating links with the submucosal layer of jejunum but not with the lumen. The pathological diagnosis was a torsion of an atypical presentation of MD. Conclusion. This case was different from typical cases of MD in that it was located on significantly oral side and had the appearance of polycystic morphology.
doi_str_mv 10.1155/2017/4514829
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Meckel’s diverticulum (MD) is the most common congenital anomaly of the intestine, with an incidence of 2~4%. Of those, only 2% of patients with MD are symptomatic. Torsion of MD is extremely rare, and only a dozen cases have been previously reported. Case Report. The patient was a 49-year-old male who presented to our emergency room with a chief complaint of lower abdominal pain. Computed tomography imaging revealed an irregular polycystic mass connected to the small intestine that measured 7.5 cm in a diameter. A laparoscopic-assisted partial resection of the jejunum was performed. The lesion was found to have caused torsion and was located 130 cm from the ileocecal valve. The specimen was polycystic in appearance and showed communicating links with the submucosal layer of jejunum but not with the lumen. The pathological diagnosis was a torsion of an atypical presentation of MD. Conclusion. This case was different from typical cases of MD in that it was located on significantly oral side and had the appearance of polycystic morphology.</description><identifier>ISSN: 1687-9627</identifier><identifier>EISSN: 1687-9635</identifier><identifier>DOI: 10.1155/2017/4514829</identifier><identifier>PMID: 28785284</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Abdomen ; Abnormalities ; Case Report ; CT imaging ; Cysts ; Gastrointestinal system ; Laparoscopic surgery ; Laparoscopy ; Morphology ; Patients ; Small intestine ; Surgery ; Tomography</subject><ispartof>Case reports in medicine, 2017-01, Vol.2017 (2017), p.1-5</ispartof><rights>Copyright © 2017 Atsushi Kohga et al.</rights><rights>COPYRIGHT 2017 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2017 Atsushi Kohga et al. 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Meckel’s diverticulum (MD) is the most common congenital anomaly of the intestine, with an incidence of 2~4%. Of those, only 2% of patients with MD are symptomatic. Torsion of MD is extremely rare, and only a dozen cases have been previously reported. Case Report. The patient was a 49-year-old male who presented to our emergency room with a chief complaint of lower abdominal pain. Computed tomography imaging revealed an irregular polycystic mass connected to the small intestine that measured 7.5 cm in a diameter. A laparoscopic-assisted partial resection of the jejunum was performed. The lesion was found to have caused torsion and was located 130 cm from the ileocecal valve. The specimen was polycystic in appearance and showed communicating links with the submucosal layer of jejunum but not with the lumen. The pathological diagnosis was a torsion of an atypical presentation of MD. Conclusion. 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source Wiley Online Library Open Access; Publicly Available Content (ProQuest); PubMed Central
subjects Abdomen
Abnormalities
Case Report
CT imaging
Cysts
Gastrointestinal system
Laparoscopic surgery
Laparoscopy
Morphology
Patients
Small intestine
Surgery
Tomography
title Torsion of Atypical Meckel’s Diverticulum Treated by Laparoscopic-Assisted Surgery
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