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2014, Number 2

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Revista Cubana de Cirugía 2014; 53 (2)

Phytobezoar-caused intestinal obstruction in a Meckel's diverticulum

Fernández SLT, Goicolea RLR, Romanidy CC

Language: Spanish
References: 19
Page: 188-195
PDF size: 133.67 Kb.


ABSTRACT

Meckel's diverticulum is considered the most frequent gastrointestinal anomaly, it occurs equally in both sexes; however, the onset of symptoms and complications are more frequent in male patients Intestinal obstruction is the most common complication in adults. This is the report of a 41-years old patient, who presented with abdominal pain and vomiting for 12 hours; he was diagnosed as mechanical intestinal obstruction. The abdominal X-ray showed fluid levels compatible with the diagnosis of intestinal obstruction. The findings at surgery were dilated jejunum and ileum loops, with lots of liquid inside and edema caused by a phytobezoar (from mango fibers mainly) that occupied the broad-base Meckel diverticulum lumen. A 6 cm intestinal portion was excised from the diverticulum basis, and it was necessary to perform primary anastomosis with polyglycol acid discontinuous suture. The patient recovered without further complications postoperatively.


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