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Laparoscopic treatment of bowel obstruction due to a bezoar in a Meckel's diverticulum.
JSLS. 2011 Oct-Dec; 15(4):562-4.JSLS

Abstract

BACKGROUND AND OBJECTIVES

Meckel's diverticulum is a common anomaly of the gastrointestinal tract that may result in gastrointestinal bleeding, diverticulitis, and small bowel obstruction. This report describes the use of laparoscopy to treat a rare complication of Meckel's diverticulum-small bowel obstruction due to phytobezoar impaction. More generally, it provides an example of the feasibility and utility of a laparoscopic approach to small bowel obstructions of unknown causes.

METHODS

A 34-year-old male presented to the emergency department complaining of episodic abdominal pain and vomiting. He had no history of abdominal surgery. His vital signs were stable, and his abdomen was distended, but only mildly tender. He had no abdominal wall hernias on examination. Imaging was consistent with small bowel obstruction. He was brought to the operating room where laparoscopy revealed a Meckel's diverticulum with an impacted phytobezoar as the source of obstruction. The diverticulum was resected and the phytobezoar removed laparoscopically.

RESULTS

The patient recovered well and was discharged home on the third postoperative day, tolerating a regular diet.

CONCLUSIONS

Phytobezoar impaction in a Meckel's diverticulum causing small bowel obstruction is a rare event. It can be effectively treated laparoscopically. This case provides an example of the potential utility of laparoscopy in treating small bowel obstructions of unclear etiology.

Authors+Show Affiliations

Department of Surgery, Massachusetts General Hospital, Boston, MA, USA. pfagenholz@partners.orgNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22643518

Citation

Fagenholz, Peter J., and Marc A. de Moya. "Laparoscopic Treatment of Bowel Obstruction Due to a Bezoar in a Meckel's Diverticulum." JSLS : Journal of the Society of Laparoendoscopic Surgeons, vol. 15, no. 4, 2011, pp. 562-4.
Fagenholz PJ, de Moya MA. Laparoscopic treatment of bowel obstruction due to a bezoar in a Meckel's diverticulum. JSLS. 2011;15(4):562-4.
Fagenholz, P. J., & de Moya, M. A. (2011). Laparoscopic treatment of bowel obstruction due to a bezoar in a Meckel's diverticulum. JSLS : Journal of the Society of Laparoendoscopic Surgeons, 15(4), 562-4. https://doi.org/10.4293/108680811X13176785204607
Fagenholz PJ, de Moya MA. Laparoscopic Treatment of Bowel Obstruction Due to a Bezoar in a Meckel's Diverticulum. JSLS. 2011 Oct-Dec;15(4):562-4. PubMed PMID: 22643518.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic treatment of bowel obstruction due to a bezoar in a Meckel's diverticulum. AU - Fagenholz,Peter J, AU - de Moya,Marc A, PY - 2012/5/31/entrez PY - 2012/5/31/pubmed PY - 2012/8/15/medline SP - 562 EP - 4 JF - JSLS : Journal of the Society of Laparoendoscopic Surgeons JO - JSLS VL - 15 IS - 4 N2 - BACKGROUND AND OBJECTIVES: Meckel's diverticulum is a common anomaly of the gastrointestinal tract that may result in gastrointestinal bleeding, diverticulitis, and small bowel obstruction. This report describes the use of laparoscopy to treat a rare complication of Meckel's diverticulum-small bowel obstruction due to phytobezoar impaction. More generally, it provides an example of the feasibility and utility of a laparoscopic approach to small bowel obstructions of unknown causes. METHODS: A 34-year-old male presented to the emergency department complaining of episodic abdominal pain and vomiting. He had no history of abdominal surgery. His vital signs were stable, and his abdomen was distended, but only mildly tender. He had no abdominal wall hernias on examination. Imaging was consistent with small bowel obstruction. He was brought to the operating room where laparoscopy revealed a Meckel's diverticulum with an impacted phytobezoar as the source of obstruction. The diverticulum was resected and the phytobezoar removed laparoscopically. RESULTS: The patient recovered well and was discharged home on the third postoperative day, tolerating a regular diet. CONCLUSIONS: Phytobezoar impaction in a Meckel's diverticulum causing small bowel obstruction is a rare event. It can be effectively treated laparoscopically. This case provides an example of the potential utility of laparoscopy in treating small bowel obstructions of unclear etiology. SN - 1086-8089 UR - https://www.unboundmedicine.com/medline/citation/22643518/Laparoscopic_treatment_of_bowel_obstruction_due_to_a_bezoar_in_a_Meckel's_diverticulum_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22643518/ DB - PRIME DP - Unbound Medicine ER -