A Case of Strangulated Ileus due to a Mesodiverticular Band at Meckel’s Diverticulum

Abstract

A 61-year-old male developed abdominal pain and vomiting and visited a nearby doctor. He was diagnosed as having a strangulation ileus by careful examination. He was referred to our hospital for surgical treatment and an emergency operation was performed. During the operation, bloody ascites was noted, a Meckel’s diverticulum was found 100 cm from the end of the ileum, and the ileum on the oral side was strangulated by the Meckel’s diverticulum. A continuous cord from the mesentery was found at the tip of the Meckel’s diverticulum. Arterial hemorrhage was observed when the cord was cut. The Meckel’s diverticulum was ligated and detached at the root, and the strangulation was released. The ileum was necrotized and resected including the Meckel’s diverticulum. Arterial hemorrhage was detected in the cord, and the condition was diagnosed as a strangulated ileus due to a mesodiverticular band at the Meckel’s diverticulum. We report herein on a case of strangulated ileus due to a mesodiverticular band at the Meckel’s diverticulum.