Case Report: Strangulated Hernia on a Flange between Meckel's Diverticulum and the Appendix

Abstract

Introduction: Meckel's diverticulum is a very common abnormality of the digestive tract, most often asymptomatic but revealed by a complication; Among these complications, occlusion, which has multiple mechanisms, one of the mechanisms is internal hernia. Case report we present the case of a young woman of 28 years old admitted to the emergency department for occlusion on an internal hernia strangulated through an abnormal orifice made of a flange between the appendix and a Meckel's diverticulum. the patient she was admitted urgently to the operating room. Treatment consisted of resection of the necrotic ileum including the meckel's diverticulum with an ileostomy, and an appendectomy. Peritoneal cavity lavage and drainage. the postoperative period was uneventful. The patient was discharged from the hospital on the fifth day after the operation. readmitted two months later for the restoration of intestinal continuity. Discussion: Internal hernias are rare, most of them remaining asymptomatic. Are responsible for bowel obstruction in 0.5 to 4.1% of cases. Meckel's diverticulum is the most common birth defect of the gastrointestinal tract. It most often remains asymptomatic, although, it can be revealed by a complication. complications can be haemorrhagic, obstructive, infectious, or tumorous. Mechanical occlusion is the most common complication in adults; it represents 24 to 53%. CT scan is the reference examination. Conclusion: Any abrupt-onset occlusive syndrome with dilated small loops in a central location in the abdominal cavity should, in a subject with no surgical history, raise the hypothesis of a strangulated internal hernia in principle.