Asian Journal of Case Reports in Surgery

Mesodiverticular Band of Meckel’s Diverticulum Causing Strangulated Small Bowel: A Case Report

Sopan N. Jatal *

M. I. M. S. R. Medical College, Jatal Hospital and Research Centre, Latur, India.

Sudhir Jatal

Jatal Hospital and Research Centre, Tata Hospital, Latur, Mumbai, India.

Sachin Ingle

Department of Pathology, MIMSR Medical College, Latur, India.

*Author to whom correspondence should be addressed.

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Abstract

The Mesodiverticular band is an embryologic remnant of the vitelline artery which provides the arterial supply to the Meckel’s Diverticulum. In the event of an error of involution a patent or non-patent arterial band persist and extend from the mesentery to the apex of the Meckel’s Diverticulum. This results in the formation of a snare-like aperture through which bowel loops can herniate and become obstructed. We report a case of 50 years old male patient, show presented with strangulation and gangrene of a small bowel caused by Mesodiverticular band of the Meckel’s Diverticulum. He presented with severe pain in abdomen distension of abdomen and vomiting. Emergency explorative laparotomy revealed gangrene of Meckel’s Diverticulum along with adjacent ileal segment caused by Mesodiverticular band of Meckel’s Diverticulum. The Mesodiverticular band was released from the ileal mesentery and the gangrenous ileal segment with Meckel’s Diverticulum was resected and end to end ileo-ileal anastomosis was performed.

Keywords: Mesodiverticular band, Meckel’s diverticulum, strangulation

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