2019 Volume 39 Issue 3 Pages 535-539
A 19-year-old man was admitted to our hospital following sudden onset of intractable lower abdominal pain, diarrhea and vomiting. Abdominal contrast-enhanced CT revealed a closed loop sign, but no clear ischemic changes. Pan-peritonitis appeared with muscle guarding, and emergency surgery was performed. Intraoperatively, we found that the ileum was compressed by a herniation of cord-like tissue growing from Meckel’s diverticulum to the small intestine. With resection of only this tissue, simple repositioning was manually possible, so a diverticulectomy was performed. Histopathological examination of the resected cord-like tissue revealed an artery, vein and nerve, so a mesodiverticular vascular band was diagnosed. Ileus caused by Meckel’s diverticulum is rare, but should be considered when ileus is encountered in a patient with no history of surgery.
