Abstract
We report on a rare case of torsion of Meckel’s diverticulum at the neck associated with an internal hernia caused by a mesodiverticular band. A 5-year-old boy was admitted to our hospital because of severe abdominal pain and vomiting. Abdominal CT demonstrated a dilatation of the small intestine and a blind-ending luminal structure in the pelvic cavity. We diagnosed the boy as having an intestinal obstruction due to Meckel’s diverticulum and performed emergency laparotomy. Intraoperatively, the ileal loop was strangulated by a foramen caused by a mesodiverticular band, which extended from the top of the diverticulum to the retroperitoneum, and the twisted Meckel’s diverticulum at its neck was encountered. After the entrapped ileum was reduced, Meckel’s diverticulum was resected. His postoperative course was uneventful.
