A Case of Intestinal Obstruction due to a Knot in Meckel's Diverticulum

Haruhiko Cho, Manabu Shiozawa, Fumiyasu Fukano, Isao Tamura, Shinichirou Suzuki

Department of Surgery, Fujisawa-Shounandai Hospital

A 66-year-old man with upper abdominal pain was admitted to the hospital. Abdominal CT and arterial blood gas data suggested the possibility of strangulated ileus and intestinal necrosis. During surgery, a diverticulum tied a loop of ileum and caused intestinal necrosis. Histopathological examination showed a diverticulum with all layers of the ileum. No ectopic mucosa was seen. Strangulation by a knot is the least known method of complicating Meckel's diverticulum. Such a type of diverticulum is characteristic in that it has a long neck and an ampulla at its distal end.

Key words
knot in Meckel's diverticulum, strangulated ileus, intestinal necrosis

Reprint requests
Haruhiko Cho Department of Surgery, Fujisawa-Shounandai Hospital
2345 Takakura, Fujisawa, 252 JAPAN

Accepted
October 1, 1997

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