Abstract
A 47-year-old woman was admitted to our hospital because of the sudden onset of abdominal pain, vomiting and diarrhea which were intractable. Abdominal enhanced CT scan revealed a whirl sign and a tubular structure with the blind end that had the wall edema and a decreased imaging effect. So we suspected strangulated ileus caused by a Meckel's diverticulum and performed an emergency operation. At surgery, we found a Meckel's diverticulum located in the ileum 70 cm proximal to the end of the Bauhin's valve. A rope thing generated from the top of the Meckel's diverticulum adhered to the mesentery of the small intestine 10 cm proximal to the end of the Bauhin's valve. The Meckel's diverticulum had been twisted by 720 degrees in the base. Partial resection of the small intestine including the Meckel's diverticulum was carried out. The rope thing was clarified to be mesodiverticular vascular band by postoperative pathological studies.
We report a case of strangulated ileus caused by a mesodiverticular vascular band of Meckel's diverticulum in which preoperative CT scanning was useful for diagnosis, together with some bibliographical comments.
