A LOOP FORMATION OF MECKEL'S DIVERTICULUM: A CASE WITH OBSTRUCTION OF THE ILEUM
Morimasa Tomikawa1, Junya Taomoto2, Motonori Saku2, Morishige Takeshita3, Koji Yoshida41National Kyushu Medical Center Hospital, Kyushu University, Graduate School of Medical Sciences, Department of Surgery and Science, Fukuoka, Japan, [email protected] 2National Kyushu Medical Center Hospital, Department of Surgery, Fukuoka, Japan 3National Kyushu Medical Center Hospital, Department of Pathology, Fukuoka, Japan 4National Kyushu Medical Center Hospital, Clinical Research Institute, Fukuoka, Japan
An adult case of obstruction of the ileum caused by a loop formation of Meckel’s diverticulum is described. The patient, having severe abdominal pain and vomiting, was diagnosed as having ileus. A roentgenogram with a contrast medium showed severe obstruction at the mid part of the ileum. From findings of elective laparotomy, adhesion between the inflammatory end of Meckel’s diverticulum and the corresponding mesenterium had formed a loop, which had clasped the distal part of ileum. We here warn that Meckel’s diverticulum forming a loop is a cause of obstruction of the ileum in adults.
Keywords: Meckel’s diverticulum, Obstruction of the ileum, loop formation