Laparoscopic resection of a huge gangrenous Meckel's diverticulum in an adult

Ong WJ, Tan KK, Sim R
Correspondence: Marc Weijie Ong, richard_sim@ttsh.com.sg

ABSTRACT
This report highlights the rare occurence of a huge gangrenous Meckel’s diverticulum in an adult, which was managed successfully with laparoscopic resection. A 45-year-old woman presented with a one-day history of right iliac fossa pain with fever and vomiting. Computed tomography showed a huge gangrenous Meckel’s diverticulum. The patient underwent laparoscopic exploration and extracorporeal stapled resection of the Meckel’s diverticulum. This case serves to highlight the safety and feasibility of performing a laparoscopic resection of a huge gangrenous Meckel’s diverticulum in an adult.

Keywords: adult, gangrene, laparoscopic, Meckel’s diverticulum, surgery
Singapore Med J 2013; 54: e83-e84; http://dx.doi.org/10.11622/smedj.2013087

http://smj.org.sg/sites/default/files/5404/5404cr3.pdf

REFERENCES

1. Dumper J, Mackenzie S, Mitchell P, et al. Complications of Meckel's diverticula in adults. Can J Surg 2006;49:356-7.

2. Mackey WC, Dineen P. A fifty year experience with Meckel's diverticulum. Surg Gynecol Obstet 1983;156:56-64.

3. Malhotra S, Roth DA, Gouge TH, et al. Gangrene of Meckel's diverticulum secondary to axial torsion: a rare complication. Am J Gastroenterol 1998; 93:1373-5. http://dx.doi.org/10.1111/j.1572-0241.1998.422_c.x

4. Nunes QM, Hotouras A, Tiwari S, Sheth A. Gangrene due to axial torsion of a Giant Meckel's Diverticulum containing multiple stones in the lumen: a case report. Cases J 2009; 2:7141. http://dx.doi.org/10.1186/1757-1626-2-7141

5. Limas C, Seretis K, Soultanidis C, Anagnostoulis S, et al. Axial torsion and gangrene of a giant Meckel's diverticulum. J Gastrointestin Liver Dis 2006; 15:67-8.

6. Palanivelu C, Rangarajan M, Senthilkumar R, Madankumar MV, Kavalakat AJ. laparoscopic management of symptomatic meckel's diverticula: a simple tangential stapler excision. JSLS 2008; 12:66-70.