Neonatal intestinal obstruction secondary to Meckel's diverticulum with associated band and ileal stricture: A case report with review of literature
DOI:
https://doi.org/10.47338/jns.v13.1319Keywords:
Neonate, Intestinal obstruction, Meckel's diverticulum, Mesodiverticular band, Ileal strictureAbstract
Background: Symptomatic Meckel’s diverticulum is exceptionally rare in neonates, often presenting as intestinal obstruction or perforation. The differential diagnosis may encompass more prevalent conditions like intestinal atresia, malrotation, or Hirschsprung's disease.
Case Presentation: We present a case of a 21-day-old female who presented with intestinal obstruction. Exploratory laparotomy revealed Meckel's diverticulum with a mesodiverticular band causing closed-loop obstruction along with three passable strictures in the ileum. Surgical resection of the affected bowel and the creation of an ileostomy were performed due to bowel ischemia and hemodynamic instability.
Conclusion: Early diagnosis and prompt surgical intervention are pivotal in managing neonatal Meckel's diverticulum, reducing risks of bowel necrosis and complications.
Downloads
Metrics
References
Juang D, Snyder CL. Neonatal bowel obstruction. Surg Clin. 2012;92(3):685-711.
Verma A, Rattan KN, Yadav R. Neonatal Intestinal Obstruction: A 15-Year Experience in a Tertiary Care Hospital. J Clin Diagn Res. 2016;10(2):SC10-SC13.
Bertozzi M, Melissa B, Radicioni M, Magrini E, Appignani A. Symptomatic Meckel’s diverticulum in newborn: two interesting additional cases and review of literature. Pediatr Emerg Care. 2013;29(9):1002-5.
Benson CD. Surgical implications of Meckel’s diverticulum. In: Ravitch MM, Welch KJ, Benson CD, eds. Pediatric Surgery. Chicago, IL: Year Book Medical Publishers; 1978:955-960.
Sy E, Shan Y, Tsai H, Lin C. Meckel's diverticulum associated with ileal volvulus in a neonate. Pediatr Surg Int. 2002;18:529-31.
Yu ST, Oh YK, Park WC, Kim EA, Lee CW, Yoon HS. A case of intussusception caused by Meckel's diverticulum in a newborn. Clin Exp Pediatr. 2005;48(8):907-10.
Honig J, Figueroa A, Castro R, Lotakis D, Bamji M, Wallack M, et al. Meckel’s diverticulum, a rare presentation in a neonate. Am Surg. 2023;89(6):2904-6.
Aziz DA, Sehat SI, Osman M, Zaki FM. Neonatal Intestinal Obstruction Secondary to a Floppy Meckel's Diverticulum Successfully Treated by Minimal Access Surgery. BMJ Case Rep. 2012;2012:bcr2012006956.
Kunitsu T, Koshida S, Tanaka K, Nakahara S, Yanagi T, Maruo Y, et al. Neonatal Meckel diverticulum: obstruction due to a short mesodiverticular band. Pediatr Int. 2015;57(5):1007-9.
Oukhouya MA, Andaloussi S, Abdellaoui H, Tazi M, Mahmoudi A, Elmadi A, et al. Meckel’s Diverticulum Causing Intestinal Obstruction in the Newborn. Pan Afr Med J. 2018;31(1):210.
Kotinatot S, Shankar S, Ath MB, Elajab A, Dsouza AP. Intermittent volvulus with obstruction due to a Meckel’s diverticulum and band presenting as feeding intolerance in a neonate with trisomy 13. Oman Med J. 2022;37(5):e414.
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Priyanka Bamoria, Sheetal Upreti, Eram Nahid, MD. Fahim Ahmad, Prafull Kumar, Simmi K Ratan
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.