Abstract
A 31-year-old man was seen at the hospital because of lower abdominal pain and vomiting. The patient was diagnosed as having an intestinal obstruction based on the results of abdominal X-ray examination and abdominal CT scan, and was admitted on the same day. His abdomen was distended and there was no evidence of muscle guarding or Blumberg's sign. Since conservative treatment was ineffective, an emergency laparotomy was performed. Laparoscopic findings showed that Meckel's diverticulum had adhered to the abdominal wall near the umbilicus and was twisted clockwise by approximately 180 degrees. The ileum was obstructed. Meckel's diverticulum was resected. As evidenced by this case, laparoscopy is beneficial for diagnosis and is less invasive than conventional surgery.
