Rare Cases of Two Types of Meckel’s Diverticulum
Yongnan Li, MD, Shuodong Wu, MD
Department of Biliary Surgery, Shengjing Hospital of China Medical University, Shenyang City, People’s Republic of China (both authors).
Introduction: Symptomatic Meckel’s diverticulum during pregnancy and inverted Meckel’s (“ windsock ”) divertic- ulum are rare occurrences. Preoperative diagnosis is difficult, and inverted diverticulum can be misdiagnosed as lipoma.
Case Description: We report a case of Meckel’s diverticulum during pregnancy, causing a hernia of the small intestine, and a case of inverted Meckel’s diverticulum causing an ileocolic intussusception.
Discussion: When dealing with small-bowel obstruction of unknown origin, Meckel’s diverticulum is a cause that is easy to miss. Early laparoscopic exploration helps as an auxiliary diagnostic tool and can avoid small-bowl necrosis or intestinal perforation caused by long-standing small bowel obstruction.
Key Words: Bowel malformation, Laparoscopic surgery, Meckel’s diverticulum, Pregnancy.