Decanini TCÓ, Ruiz FBM, Vega JM, Maldonado GEL, Obregón MJG

Language: Spanish
References: 11
Page: 19-22
PDF size: 231.20 Kb.

ABSTRACT

Introduction: Meckel’s diverticulum is the most common congenital malformation of the gastrointestinal tract seen in 2-4% of the population. Meckel’s diverticulitis (13-31%) can lead to perforation and peritonitis similar to acute appendicitis, with which it is often confused, and the appearance of the diverticulum in laparotomies or laparoscopies has been reported for this diagnosis. Presentation of the case: A 16-year-old male patient with onset of abdominal pain 36 hours prior to admission to the emergency department. On examination, he presented data on acute abdomen. Tomographic study revealed data of acute appendicitis, diagnostic laparoscopy was performed with three ports, with transoperative findings: Edematous reactive appendicitis 11 cm long and Meckel’s diverticulum 6 × 4 cm to 90 cm of the ileocecal valve, with acute inflammatory changes. Laparoscopic appendectomy was performed with linear stapler, diverticulum was externalized through umbilical port with wound retractor and diverticulectomy was performed with linear stapler, the patient evolved satisfactorily with discharge on the fifth day. Conclusions: Laparoscopy should be considered as the technique of choice in Meckel’s diverticulum, because it allows easy diagnosis and identification of the diverticuli. Diverticulectomy assisted by transumbilical laparoscopy is safe and effective in the treatment of diverticulectomy and bowel resection.

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