TITLE:
Three Inverted Meckel’s Diverticula Cases with Ileus Diagnosed Preoperatively and Treated Laparoscopically
AUTHORS:
Kazuya Naritomi, Yuya Tanaka, Hiroki Ureshino, Yoshihiro Uchino, Motohisa Kuwahara, Yuhei Kitazato, Masahiro Kawabata, Masae Mano
KEYWORDS:
Meckel’s Diverticulum, Ileus, Preoperative Diagnosis, Laparoscopic Surgery
JOURNAL NAME:
Surgical Science,
Vol.7 No.2,
February
16,
2016
ABSTRACT: We have experienced three inverted Meckel’s diverticula with ileus that are
diagnosed before surgery and treated with laparoscopic surgery. The patients
were 22, 26, and 29 years of age. The history of ileus for each patient
differed, being the first experience for one patient, the second for another,
and the third experience for the remaining patient. None of these patients had
a history of abdominal surgery. Conservative therapy eventually improved the
existing symptoms, but the cause of past ileus remained unclear. Elective
surgery was performed 12 days from the onset of symptoms on two of the patients
after improving the ileus by inserting a long tube into the bowel. Emergency surgery
was performed on the same day of admission on the remaining case that involved
moderate expansion of intestine. In these patients, the first trocar was
inserted into the umbilicus region. Laparoscopic surgery was then performed
with three trocars. The patients were discharged upon favorable outcome after
surgery. No recurrence of ileus was noted post-surgery. Laparoscopy was useful
both to diagnose and treat ileus of a Meckel’s diverticulum.