2017 Volume 42 Issue 6 Pages 1052-1056
A 27-year-old man with no surgical history visited a local clinic on 3 different occasions for intestinal obstruction. The cause was unclear, thus he was referred to our hospital. Double-ballon enteroscopy revealed a bidirectional lumen in the small bowel and Meckelʼs diverticulum was suspected to be the cause of obstruction, and he was sent to our department for surgery. During the operation, an adhesion of the apex of Meckelʼs diverticulum with the adjacent ileum was found, which formed a loop and caused an internal hernia. Diverticulum resection and stricture plasty were performed, and the obstruction was diagnosed as being caused by inflammatory adhesion of Meckelʼs diverticulum. Histopathological examination findings showed Meckelʼs diverticulum without ectopic composition, such as gastric or pancreas mucosa. The postoperative course was stable and intestinal obstruction has not recurred.
