2022 Volume 58 Issue 7 Pages 992-995
The patient was an 11-year-old boy who presented to the emergency department with abdominal pain and vomiting, and he was diagnosed with intussusception on the basis of the findings of abdominal ultrasonography and CT. After radiological reduction, he was admitted to the hospital. He was discharged on the fifth day without any recurrence of symptoms. Three weeks after the initial episode of the intussusception, he complained of abdominal pain again. Abdominal ultrasonography showed an invaginated intestine. He was emergently admitted after radiological reduction, and operation was performed on the third day. Laparoscopic observation revealed a serosal depression in the ileum 50 cm orally from the distal end of the ileum, and a mass was palpated in the same area. The lesion was extracted from the umbilical wound, and the ileum was partially resected. Histopathological examination revealed a broad-based diverticulum with a mucosal bridge covering its entrance. The bridge did not contain a muscular layer, leading to the final diagnosis of Meckel’s diverticulum with a mucosal bridge. His postoperative course was uneventful, and he was discharged on the sixth postoperative day with no recurrence of symptoms since then. As far as we know, this is the first report of a case of Meckel’s diverticulum with a mucosal bridge.
