Objective:

To report a rare case of Meckel's diverticulum complicated by band adhesion resulting in internal hernia and small bowel obstruction in a pediatric patient.

Approach:

• Surgical Intervention: Emergency surgery confirmed the presence of a Meckel's diverticulum located approximately 40 cm proximal to the ileocecal valve. A fibrous band formed an adhesive ring, creating a hernia defect through which the proximal ileum had herniated, resulting in bowel compression and strangulated obstruction. Resection of the Meckel's diverticulum and 25 cm of necrotic ileum was performed, followed by end-to-end ileo-ileal anastomosis.

Key Findings:

• Meckel's diverticulum can lead to internal hernia and bowel obstruction due to band adhesion.
• The patient presented with atypical symptoms, complicating diagnosis.

Interpretation:

Internal hernia caused by Meckel's diverticulum band adhesion is a rare cause of intestinal obstruction in children.

Limitations:

• The case highlights the diagnostic challenges in pediatric patients without prior abdominal surgery.
• The rarity of the condition may limit generalizability of findings.

Conclusion:

This case broadens the differential diagnosis of pediatric intestinal obstruction.