Short bowel syndrome due to a severe complication related to Meckel's diverticulum
Palade, R.; Vasile, D.; Tomescu, M.; Suliman, E.; Popa, D.
Chirurgia 102(4): 465-469
2007
ISSN/ISBN: 1221-9118 PMID: 17966946 Document Number: 613744
A 17 years old patient, admitted and operated in emergency with acute diffuse peritonitis which had been had the onset four days before. During surgery, a huge volvulus of the small intestine is revealed due to an adherence between Meckel's diverticulum and mesentery, with large intestinal necrosis. Extended enterectomy is performed with jejunostomy. The postoperative outcome is difficult due to severe metabolic insufficiencies which are managed by intensive therapy measures. The patient is readmitted to surgery and an anastomosis between 30 cm jejunum and 20 cm ileum is performed. Then the outcome is good, with digestive function recovery and weight gain. Unfortunately, the patient died one year after surgery, due to severe haematological and neurological disorders caused by the mal-absorbtion syndrome.