A Case of Strangulated Ileus due to a Knot in a Meckel's Diverticulum

Tadaaki Noguchi, Muneo Kawamura, Takeshi Kawamura, Hisao Matsuda, Takahiro Shimamura, Kuniaki Sasaki and Rikiya Sato

Kawamura Hospital

A 72-year-old woman with no surgical history suffering from abdominal pain and referred after conservative 2-day treatment elsewhere was hospitalized for subileus but symptoms became worse. We operated the day after admission under a diagnosis of strangulated ileus. We found the ileum strangulated due to a knot in a long Meckel's diverticulum. We resected the Meckel's diverticulum and necrotic intestine and conducted end-to-end anastomosis. The clinical course was good. Strangulated ileus due to a knot in a Meckel's diverticulum is very rare, with our case only the eigth reported in Japan.

Key words
strangulated ileus, knot in Meckel's diverticulum

Reprint requests
Tadaaki Noguchi Kawamura Hospital
327 Nakajima, Fuji, 416-0907 JAPAN

Accepted
November 19, 2008

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