TITLE:
Postoperative intestinal obstruction caused by Meckel’s diverticulitis after appendectomy
AUTHORS:
Erdal Turk, Ayca Tan, Fahri Karaca, Yesim Edırne, Irfan Karaca
KEYWORDS:
Appendicitis; Meckel’s Diverticulum; Intestinal Obstruction
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.3 No.4,
November
28,
2013
ABSTRACT: Surgical treatment of the complications associated
with Meckel’s diverticulum is widely accepted, but surgical management of an
asymptomatic diverticulum found incidentally during laparotomy for other
reasons is controversial. Appendectomy is the most common reason for laparotomy
in many pediatric surgery clinics. The most common causes of an intestinal
obstruction in the early period after appendectomy are an intra-abdominal
abscess, adhesive small bowel obstruction and invagination. Obstruction due to
Meckel’s diverticulum is reported rarely. In this study, we present 2 cases,
five and eleven years old, with an asymptomatic Meckel’s diverticulum where
appendectomy was performed due to acute and perforated appendicitis and
obstruction developed due to Meckel’s diverticulitis in the postoperative early
stage. Meckel’s diverticulitis must be considered in intestinal obstruction
cases developing in the early stages after appendectomy although quite rare.