Meckel’s diverticulum is an uncommon cause of intestinal obstruction in adult life which is found in only 1-3% of the general population1
Rarely Meckel’s diverticulum is complicated by a mesodiverticular band, which can lead to intestinal obstruction and gangrene of the gut. This abnormality is associated with high mortality.2 At Aster Hospital in Qusais, the patient was treated laparoscopically which ensured better and faster recovery
Dubai, UAE, xx, 2020: A 49-year-old, east-Asian, male patient with no history of abdominal surgery, was presented at Aster Hospital, Qusais with unbearable abdominal pain, vomiting and a swollen abdomen. He was diagnosed with a rare case of a small intestine bowel obstruction which if left untreated would have caused major complications. The medical team took an unconventional approach to treat the case which reduced his recovery time by 3 months and patient was able to return to his normal life within a week.
In medical terms, he was diagnosed with an obstruction of the bowel due to the Mesodiverticular band in Meckel’s diverticulum, a condition where there is a blockage in the small intestine, causing immense abdominal pain to the patient. If not treated, it can lead to several long term and life threatening complications.
Traditionally, an intestinal obstruction is treated by cutting open the abdomen (known as laparotomy) which can usually take months to recover from, in addition to various complications that may arise post-surgery. However, in this case, the procedure was done through a minor incision (laproscopically) and the obstruction was removed by cutting out the band causing obstruction and removing the bulge or outpouching known as Meckel’s diverticulum.
Talking about the case, Dr Reji Chandran, Specialist General Surgeon in Dubai at Aster Hospital, Qusais stated, “Meckel’s diverticulum is a bulge in the lower part of the small intestine caused due to a leftover of the umbilical cord during birth and as per a NCBIreport, it occurs in about 1% to 3% of the general population but causes symptoms in only a small number of people. Many people may not even show any symptoms their entire life. Obstruction of the bowel due to the Mesodiverticular band in Meckel’s diverticulum is an extremely rare disorder and we treated it
NCBI report: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4921525/#:~:text=The%20mesodiverticular%20band%20is%20an,apex%20of%20the%20antimesenteric%20diverticulum.
Gamblin TC, Glenn J, Herring D, McKinney WB. Bowel obstruction caused by a Meckel’s diverticulum enterolith: a case report and review of the literature. Curr Surg. 2003;60:63–64.
laparoscopically which significantly reduced patient’s, pain, morbidity and recovery time.Patients with this condition, who show symptoms such as hemorrhage, intussusceptions, small bowel obstruction, infections in intestines and/or a rupture in the bowel, treatment should be done immediately or may lead to serious morbidity or even mortality.
Dr Ramanathan V, Group Medical Director for Aster & Medcare Hospitals and Clinics, added, When Meckel’s diverticulum is associated with congenital bands, this could lead to bowel obstruction and gangrene, which is a serious condition. This was one such case, but our doctors were able to diagnose and treat appropriately on time. The operation was done laparoscopically, which reduced recovery time of the patient to less than a week, when compared to traditional laparotomies which take about 3 months to recover from.”
Post-surgery, the patient recovered without any complications and was discharged after 3 days of hospitalization.
About Aster Hospitals UAE
Aster Hospitals, UAE is Aster DM Healthcare’s continuation of its endeavor to create world-class, patient-centric hospitals driven by medical innovations and a culture of excellence. The Hospital aims to make a difference, with its patient-centric approach to medical care. The state-of-the-art multispecialty hospital in Mankhool is a 100-bedded medical facility, and Al Qusais a 150-bedded facility, where doctors adopt a multidisciplinary approach to provide holistic treatment to patients. Equipped with the most advanced Neonatal Intensive Care Unit in UAE, Aster Hospital offers multispecialty medical and surgical care all under one roof. Aster Hospitals has recently also added a hospital under the name ‘Aster Cedars Hospital’ and a 50-bedded facility in Muhaisnah under its banner.
Aster DM Healthcare Limited is one of the largest private healthcare service providers operating in multiple GCC states and is an emerging healthcare player in India. With an inherent emphasis on clinical excellence, we are one of the few entities in the world with a strong presence across primary, secondary, tertiary and quaternary healthcare through our hospitals, and clinics. We have over 20,000 plus dedicated employees across the geographies that we are present in, delivering a simple yet strong promise to our different stakeholders: “We’ll treat you well.” We reach out to all economic segments in the GCC states through our differentiated healthcare services across the “Aster”, “Medcare” and “Access” brands.
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