Abstract
It is difficult to cirtificate the mesodiverticular band during the operation for complicated Meckel's diverticulum. A boy of 15-year-old with strangulation for the small intestine caused by a mesodiverticular band is described. He was admitted to our ward because of abdominal pain lasting for a day. There was tenderness over the abdomen, but muscular defense was not elicited. There were fluid levels in a plain abdominal X-ray film. An emergent lapalotomy revealed Meckel's diverticulum at the ileum of 80 cm oral-side from the ileocecal valve and a band between the tip of the diverticulum and the mesentery. The ileum of the oral-side by 30 cm was incarcerated into the fossa between the diverticulum and mesentery, and it was strangulated. After the ligation and cut of the band the diverticulum was resected in wedge-shaped. Histopathological examination showed ectopic gastric mucosa in the resected specimen. We reviewed 482 patients with Meckel's diverticulum, especially 38 patients with the mesodiverticular band, reported in the Japanese literature in recent 10 years.
