A Case of Meckel's Diverticulum with Multiple Enteroliths Treated Laparoscopically

DOI Web Site Web Site 20 References
  • YAMADA Takanori
    Department of Surgery, Kasumigaura Medical Center
  • OKAZAKI Masaya
    Department of Surgery, Kasumigaura Medical Center
  • SUZUKI Takatomo
    Department of Surgery, Kasumigaura Medical Center
  • ODA Tatsuya
    Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Faculty of Medicine, University of Tsukuba

Bibliographic Information

Other Title
  • 腹腔鏡下に切除した多発腸石を伴うMeckel憩室の1例
  • フククウキョウ カ ニ セツジョ シタ タハツ チョウセキ オ トモナウ Meckel ケイシツ ノ 1レイ

Search this article

Abstract

<p>A 46-year-old woman was referred to our hospital for a detailed examination of a mass with tenderness in the right lower abdomen. Contrast-enhanced computed tomography of the abdomen showed a 4-cm mass with multiple calcified stones and fluid in the pelvic cavity. The mass was in contact with the terminal ileum and was diagnosed as a Meckel's diverticulum with enteroliths. Blood tests showed no inflammatory reaction, but the patient was symptomatic, so elective laparoscopic resection of the Meckel's diverticulum was performed. Postoperative histopathological examination showed Meckel's diverticulum with ectopic gastric mucosa, and about 20 enteroliths in the diverticulum were 0.5-2 cm in size, including sharp ones. Postoperatively, the abdominal pain resolved. Although Meckel's diverticulum may necessitate emergency surgery due to complications such as diverticulitis or perforation, asymptomatic Meckel's diverticulum does not require treatment, and there have been few cases of elective surgery reported. Although Meckel's diverticulum with enteroliths is rare, if enteroliths are thought to cause chronic abdominal pain, diverticulitis, or perforation, elective surgery should be considered.</p>

Journal

References(20)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top