Single incision laparoscopic surgery (SILS) for Meckel's diverticulum

A 65-year-old male patient presented with a chief complaint of abdominal pain. Abdominal computed tomography (CT) showed slight intestinal dilation and obstruction of the upper right quadrant of the small intestine, while ectopic gastric mucosal scintigraphy revealed abnormal accumulation in agreeme...

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Bibliographic Details
Published in:Journal of surgical case reports 2019-07, Vol.2019 (7), p.rjz210
Main Authors: Kuramoto, Kunitaka, Nakahara, Osamu, Maeda, Yuto, Kumamoto, Sayahito, Tsuji, Akira, Hayashida, Shintaro, Oya, Yuki, Shibata, Hidekatsu, Iizaka, Masayoshi, Tomiyasu, Shinjiro, Hayashi, Hironori, Inomata, Yukihiro, Baba, Hideo
Format: Article
Language:English
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Case Report
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Summary:A 65-year-old male patient presented with a chief complaint of abdominal pain. Abdominal computed tomography (CT) showed slight intestinal dilation and obstruction of the upper right quadrant of the small intestine, while ectopic gastric mucosal scintigraphy revealed abnormal accumulation in agreement with the CT-identified structure. The cause of bowel obstruction was diagnosed as Meckel's diverticulum; the patient was referred for surgery. A small laparotomy was performed with a 35-mm skin incision to the center of the navel. Once a lap disk was attached, a laparoscope was inserted to visualize the abdominal cavity. The small intestine that includes the structure was pulled out from the umbilicus to the outside of the peritoneal cavity and partially resected. On the pathological tissue findings, the patient was diagnosed with Meckel's diverticulum. We report our experience with single-lap laparoscopic surgery for a case of intestinal obstruction caused by Meckel's diverticulum and review pertinent literature.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjz210