Persistence of a vitelline artery on a Meckel¿s diverticulum as a cause of bowel infarction

© 2019, Japanese Society of Gastroenterology.Meckel¿s diverticulum is a congenital anomaly, resulting from incomplete obliteration of the most proximal portion of the omphalomesenteric duct. It generally remains silent, but life-threatening complications may arise in 4¿6% of the patients. We present a case of a 16-year-old male, who arrived at the emergency room with crampy abdominal pain, nausea, and vomiting, suggestive of acute appendicitis. Surgical exploration revealed 150 cm of infarcted small bowel, secondary to a mesodiverticular band of a Meckel¿s diverticulum at the site of obstruction. The ischemic small bowel with Meckel¿s diverticulum was resected, and an ileo-ileal anastomosis was carried out. The postoperative course was uneventful, and the patient was discharged on the fifth postoperative day. He was seen 12 months after his initial surgery, with a favorable outcome.

Persistence of a vitelline artery on a Meckel¿s diverticulum as a cause of bowel infarction Academic Article in Scopus