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Date Published: 09/10/2022
Abstract Views: 129
Views PDF: 100
DOI: https://doi.org/10.51298/vmj.v518i2.3436
Issue
Vol. 518 No. 2 (2022)
Section
Các bài báo
How to Cite
Ngọc Sơn, V. ., & Hữu An, H. . (2022). A CASE REPORT: A MECKEL’S DIVERTICULUM PERFORATION DUE FISHBONE WAS TREATED BY LAPAROSCOPIC SURGERY. Vietnam Medical Journal, 518(2). https://doi.org/10.51298/vmj.v518i2.3436

A CASE REPORT: A MECKEL’S DIVERTICULUM PERFORATION DUE FISHBONE WAS TREATED BY LAPAROSCOPIC SURGERY

Vũ Ngọc Sơn1,, Hồ Hữu An1
1 108 Military Central Hospital

Main Article Content

Abstract

Introduction: Meckel's diverticulum is a congenital malformation of the gastrointestinal tract with an incidence of about 0.14 - 4.5%, most cases are asymptomatic and are discovered incidentally. Perforation of Meckel's diverticulum due to foreign bodies is one of the very rare complications. A 35-year-old male patient was admitted to the 108 Hospital with acute abdominal pain in the right iliac region. CT scan showed an intra-abdominal infiltrate, suspected of a foreign body perforating the intestine. The intraoperative injury was noted as necrosis, perforation of Meckel's diverticulum due to fishbone causing peritonitis. The patient underwent laparoscopic surgery to resect Meckel's diverticulum, irrigate the abdomen. After 6 days of treatment, the patient was discharged from the hospital in stable condition. Conclusion: Perforation of Meckel's diverticulum due to foreign body is a rare condition. Laparoscopy plays an important role in helping to diagnose and determine the cause on a safe and effective injury treatment strategy.

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References

1. Cullen J.J et al., "Surgical management of Meckel's diverticulum. An epidemiologic, population-based study", Ann Surg. 1994. 220(4), p. 564-8; discussion 568-9.
2. Dimitriou I., rl al, "Perforation of Meckel's diverticulum by a fish bone presenting as acute appendicitis: a case report", J Med Case Rep. 2013. 7, p. 231.
3. Dumper J., et al., "Complications of Meckel's diverticula in adults", Can J Surg. 2006. 49(5), tr. 353-7.
4. Groebli Y., Bertin D., Morel P., "Meckel's diverticulum in adults: retrospective analysis of 119 cases and historical review", Eur J Surg. 2001, 167(7), p. 518-24.
5. Lequet J., et al., "Meckel's diverticulum in the adult", J Visc Surg. 2017, 154(4), tr. 253-259.
6. Palanivelu C., et al, "Laparoscopic management of symptomatic Meckel's diverticula: a simple tangential stapler excision", JSLS. 2008, 12(1), p. 66-70.
7. Santos B., et al, "Perforation of Meckel's diverticulum by a swallowed fish bone: case report and literature review", J Surg Case Rep. 2019 (1), p. 003.
8. Yahchouchy E.K., et al, "Meckel's diverticulum", J Am Coll Surg. 2001. 192(5), p. 658-62.