Asian Journal of Case Reports in Surgery

A Rare Entity of Meckel’s Diverticulum at Mesenteric Location : Two Case Reports

Sopan N. Jatal *

MIMSR Medical College, Latur, Jatal Hospital and Research Centre, Latur, India.

Sudhir Jatal

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

Sachin Ingle

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

*Author to whom correspondence should be addressed.

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Abstract

A Meckel’s Diverticulum is the most common congenital anomaly of the gastrointestinal tract. Meckel’s Diverticulum is usually located at the antimesenteric border of the small intestine and it is one of the cardinal finding of Meckel’s Diverticulum. The Mesenteric location is an unusual site of Meckel’s Diverticulum.

The etiology of the anomaly of Mesenteric Meckel’s Diverticulum was due to the persistence of a short vitelline artery that creates a Mesodiverticular band from mesentery to the tip the diverticulum, which diverts the diverticulum away from the antimesenteric border to Mesenteric location during the elongation and growing process. We came across such two cases of mesenteric Meckel’s Diverticulum (MMD). After each and every case of appendectomy or laparotomy, we traced 2 feet of small intestine (ileum) and to our surprise, we noticed such rare and uncommon location of Mesenteric Meckel’s Diverticulum, in two cases admitted in our hospital with classical signs and symptoms of acute appendicitis but after appendectomy we searched for Meckel’s diverticulum as per our routine surgical procedure. Herein we are presenting two such rare and interesting cases with Mesenteric location.

Keywords: Case report, Meckel’s diverticulum, mesenteric location, resection and anastomosis

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