Acute Obstruction Caused by Meckel's Diverticulum

نویسنده

  • Nazir Ahmed Bhutta
چکیده

History.?A foot constable, aged 29 years, attached to a police station about 20 miles from headquarters reported sick to the dispensary doctor on the morning of 14th October, 1939. He gave him an enema and fomentations on the abdomen as he complained of pain in the abdomen and constipation with no passage of flatus for the last 24 hours. The man passed some fecal matter but no flatus and pain was not relieved. He was kept in the local hospital for more than 36 hours and then at 4 a.m. on 15th October was transferred to the police hospital from where he was sent to the civil hospital as an emergency case, at 9 a.m. the same day. He complained of severe irregular pain in the lower half of the abdomen, no passage of flatus or stools (except the small one in hospital) for three days, and vomiting. He lay curled up in the bed, with thighs flexed and he had rapid thoracic type of breathing, pinched facies, coated, furred, dry tongue, temperature 99?F., and pulse 100 per minute. He vomited once on arrival but it was not fecal in character. Abdomen was tympanitic and no tumour was felt. There was no tenderness

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

[Surgical treatment of Meckel's diverticulum].

The author analysed the results of operations on 19 patients with emergency diseases of the abdominal organs caused by pathological processes in Meckel's diverticulum. The inflammatory process in the diverticulum led to acute obstruction of the small intestine in 12, acute diverticulitis in 5, and peptic ulcer complicated by perforation of the intestinal wall in 2 patients. Two patients died in...

متن کامل

Spontaneous hemoperitoneum caused by meckel’s diverticulum in an elder patient

Symptomatic Meckel's Diverticulum is a rare entity in old patients. The most common complications are gastrointestinal bleeding, intestinal obstruction, acute inflammation, and perforation. Usually those complications occur on the first two decades of life and mostly before the fifth decade. We report an extremely unusual debut of Meckel's Diverticulum, presented as massive spontaneous hemoperi...

متن کامل

Intussusception caused by an inverted Meckel's diverticulum: a rare cause of small bowel obstruction in adults

Adult intussusception due to Meckel's diverticulum is an uncommon cause of intestinal obstruction. However, the surgeon should still be suspicious of this condition since the non specific symptoms and the rarity of it make a preoperative diagnosis uncertain. Considering the secondary nature of adult intussusception and the necessity of early surgical intervention to avoid morbidity and mortalit...

متن کامل

Meckel's diverticulitis: a rare entity of Meckel's diverticulum

Meckel's diverticulum is the most common congenital abnormality of the small intestine that results from incomplete closure of the vitelline (omphalo-mesenteric) duct. This true diverticulum, ~2 ft from the ileocecal valve commonly found on the anti-mesenteric border of the ileum, is benign and majority asymptomatic. Diagnosis challenges arise when it became inflamed or presented in following w...

متن کامل

Inverted Meckel’s Diverticulum: Rare Etiology of an Intestinal Obstruction

Acute gastrointestinal obstruction can have a varied spectrum of clinical presentation and etiologies. It has been studied in detail and the management criteria have been well defined for the most part in our era. The etiologies are usually well defined. However, acute small bowel obstruction (SBO) due to intussusception caused by an inverted Meckel's diverticulum is a rare phenomenon that is o...

متن کامل

Acute small bowel obstruction as a result of a Meckel's diverticulum encircling the terminal ileum: A case report

BACKGROUND In the developed world, small bowel obstruction accounts for 20% of all acute surgical admissions. The aetiology for majority of these cases includes postoperative adhesions and herniae. However, a relatively uncommon cause is a Meckel's diverticulum. Although this diagnosis is primarily reported in the adolescent population, it should also be considered in adults. CASE PRESENTATIO...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 75  شماره 

صفحات  -

تاریخ انتشار 1940