Abstract
We experienced a case of intestinal obstruction due to a knot-making of Meckel's diverticulum. A 58-year-old man was seen at the hospital because of abdominal pain, and admitted with a diagnosis of intestinal obstruction. But symptoms did not improve, so we performed a diagnostic laparoscopy the day after admission. The long neck of Meckel's diverticulum was found round the small intestine forming a knot to strangulate it. We resected the Meckel's diverticulum and the necrotic intestine. The clinical course was good. The occurrence of strangulated ileus caused by a knot of the Meckel's diverticulum in adults is relatively rare, and hence preoperative diagnosis of the disease is difficult. Laparoscopic surgery is useful in the treatment of ileus due to unknown cause.
