A Case of Dietary Bowel Obstruction Caused by Meckel’s Diverticulum Treated by Laparoscopy

Abstract

A 16-year-old woman visited our outpatient clinic with a history of lower abdominal pain after eating a heavy meal. Enhanced abdominal CT showed a dilated Meckel’s diverticulum with accumulation of food residue, and also stagnation of food residue in the intestinal tract orad to the diverticulum, resulting in bowel obstruction. The small intestine on the anal side was not dilated. There was no evidence of strangulation or necrotic findings. The patient was just observed, with intravenous infusion of electrolytes and prohibition of oral intake, and the obstruction improved. After a month, laparoscopic resection of Meckel’s diverticulum was performed. No cords, adhesions or inflammatory findings around the diverticulum were observed in the surgical field. Based on these findings, the bowel obstruction was classified as dietary bowel obstruction. We report a case of dietary bowel obstruction caused by Meckel’s diverticulum, which is relatively rare.