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KMID : 0371320060700060475
Journal of the Korean Surgical Society
2006 Volume.70 No. 6 p.475 ~ p.477
Gangrenous Meckel¡¯s Diverticulum with Intestinal Obstruction -Laparoscopic Assisted Diverticulectomy-
ÀÌÀ±¼®/Lee YS
ÀÌÀαÔ/±èÁøÁ¶/À̱ÙÈ£/¿À¼¼Á¤/¹Ú½Â¸¸/¿À½ÂÅÃ/±èÁرâ/±è¿µÇÏ/Lee IK/Kim JJ/Lee KH/Oh SJ/Park SM/Oh ST/Kim JG/Kim YH
Abstract
Meckel¡¯s diverticulum is the most common congenital anomaly that results from an incomplete obliteration of omphalomesenteric duct. But only 10% of Meckel¡¯s diverticulums are symptomatic. The most common presentation in children is painless rectal bleeding, while intestinal obstruction is more common in adults. Obstruction with a Meckel¡¯s diverticulum is usually attributed to intussusception, volvulus, inflammatory adhesion, or an internal hernia. Author¡¯s experienced multi-directionally rotated Meckel¡¯s diverticulum causes intestinal obstruction with gangrenous change in a child and removed successfully with laparoscopic assistance. To our knowledge, this appears to be a first case report of a torsion of Meckel¡¯s diverticulum associated with intestinal obstruction in Korea, which was treated by laparoscopic procedure. (J Korean Surg Soc 2006;70:475-477)
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