Case Report
 
Internal herniation beneath mesodiverticular band producing ambiguous picture in intestinal obstruction: A management dilemma
Rakesh Chauhan1, Rajesh Chaudhary2, R. Dayashankar2
1MBBS, MS, Assistant Professor Surgery Dr. RP Govt. Medical College Kangra at Tanda, HP, India.
2MBBS, Junior Resident, Dr. RP Govt. Medical College Kangra at Tanda, Himachal Pradesh, India.

doi:10.5348/ijcri-201532-CR-10493

Address correspondence to:
Dr. Rakesh Chauhan
MS, Assistant Professor Surgery, Dr. RP Govt. Medical College Kangra at Tanda
Himachal Pradesh
India
Email: drrakeshchauhan66@gmail.com

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How to cite this article
Chauhan R, Chaudhary R, Dayashankar R. Internal herniation beneath mesodiverticular band producing ambiguous picture in intestinal obstruction: A management dilemma. Int J Case Rep Images 2015;6(3):173–177.


Abstract
Introduction: Mesodiverticular band is a rare cause of obstruction due to Meckel's diverticulum complication. However, exact incidence could not be found in literature. Obstruction as a complication of the Meckel's diverticulum is the most common presentation in adults.
Case Report: We present here a case of intestinal obstruction by mesodiverticular band in a 13-year-old child with an ambiguous picture by patient clinically settling with conservative treatment but radiologically air fluid levels still persisting.
Conclusion: Mesodiverticular band cannot be diagnosed preoperatively and because of the loosely entrapped loop, obstruction is not complete. So it produces difficult situation for the surgeon to take decision in favor of surgery.

Keywords: Intestinal obstruction, Management dilemma, Meckel's diverticulum, Mesodiverticular band


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Author Contributions
Rakesh Chauhan – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, drafting the article, Critical revision of the article and final approval of the version to be published
Rajesh Chaudhary – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, drafting the article, Critical revision of the article and final approval of the version to be published
Dayashankar – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, drafting the article, Critical revision of the article and final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Rakesh Chauhan et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Rakesh Chauhan is Assistant Professor Department of Surgery at Dr. Rajendera Prasad Medical College, Kangra at Tanda, Himachal Pradesh, India. He earned undergraduate (MBBS) and postgraduate (MS General Surgery) degrees from Indira Gandhi Medical College, Shimla, Himachal Pradesh, India. His research work include general surgery, gastrointestinal surgery, oncosurgery and hospital administration.



Rajesh Chaudhary is Junior Resident in Department of Surgery at Dr. Rajendera Prasad Medical College, Kangra at Tanda, Himachal Pradesh, India. He earned undergraduate degree from Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.



R. Dayashankar is Junior Resident in Department of Surgery at Dr. Rajendera Prasad Medical College, Kangra at Tanda, Himachal Pradesh, India.