Internal Hernia and Small Bowel Obstruction Due to Meckel's Diverticulum Band Adhesion

Background

Meckel's diverticulum is a common congenital anomaly of the gastrointestinal tract in children, often remaining asymptomatic. However, complications such as intestinal obstruction can lead to acute abdominal emergencies, necessitating timely diagnosis and intervention.

Data Highlights

No numerical data or trial data provided in the source material.

Key Findings

• Meckel's diverticulum is typically located within 100 cm of the ileocecal valve and can cause complications like obstruction and intussusception.
• The case involved a 6-year-old girl with acute abdominal pain and leukocytosis.
• CT imaging revealed an internal hernia due to a fibrous diverticular band, leading to bowel obstruction.
• The surgical intervention included resection of the Meckel's diverticulum and ileal anastomosis.
• This case broadens the differential diagnosis of pediatric intestinal obstruction without prior surgery.

Clinical Implications

Healthcare professionals should consider Meckel's diverticulum as a potential cause of intestinal obstruction in pediatric patients presenting with acute abdominal pain.

Conclusion

This case illustrates the complexities associated with Meckel's diverticulum.

Related Resources & Content

1. Frontiers in Pediatrics, 2026 -- Meckel's diverticulum complicated by a congenital intestinal adhesive band: a case report and literature review
2. Frontiers in Pediatrics, 2026 -- Case Report: Complicated Meckel‘s diverticulum masquerading as gastroenteritis: a near-fatal presentation in a toddler
3. Journal of Gastrointestinal Surgery -- Ectopic Pancreatic Tissue in Inverted Meckel's Diverticulum Leading to Significant Gastrointestinal Hemorrhage
4. Frontiers in Surgery — Case Report: Strangulated transverse colon inguinal hernia complicated by cecal perforation in a patient with sclerosing mesenteritis
5. Clinical and Anatomical Spectrum of Meckel’s Diverticulum: A Systematic Review and Meta-Analysis - PMC
6. Contrast Challenge Algorithms for Adhesive Small Bowel Obstructions Are Safe in Children: A Multi-Institutional Study - PubMed
7. https://www.cureus.com/articles/331477-ischaemic-meckels-diverticulum-mesodiverticular-band-and-small-bowel-volvulus-with-closed-loop-obstruction-a-laparoscopic-approach-and-literature-review.pdf
8. https://www.jstage.jst.go.jp/article/dkmj/advpub/0/advpub_2024-011/_pdf/-char/en
9. https://www.nationwidechildrens.org/-/media/nch/for-medical-professionals/clinical-pathways/adhesive-small-bowel-obstruction-clinical-pathway.pdf
10. https://www.chrichmond.org/media/chrichmond/content-assets/media/chrichmond-media/file/clincial-pathway-small-bowel-obstruction-04082024.pdf
11. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2017 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group - PMC
12. Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma | World Journal of Emergency Surgery | Springer Nature Link
13. Endoscopic approach to Meckel’s diverticulum in pediatrics: where has been the focus in the past decade? | Journal of Pediatric Endoscopic Surgery | Springer Nature Link
14. Water Soluble Contrast Administration in the Management of Pediatric Adhesive Small Bowel Obstruction: A Systematic Review and Meta-Analysis - PubMed