A Rare Fatal Case of Internal Hernia Caused by Meckel’s Diverticulum in a Paediatric Patient

Vandana Jain, Sanjay Sahi

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DOI: 10.4236/ojped.2011.12005                

Abstract

We describe a very rare case of an internal hernia associated with a Meckel’s diverticulum, which lead to the death of a young 3 year old boy. The case describes symptoms of abdominal pain and vomiting, on a background of previous intermittent abdominal pain. The possibility of small bowel obstruction was suspected, and appropriate imaging was performed. This case illustrates the need for a high index of suspicion for small bowel obstruction, with appropriate investigations and review. It also highlights the limitations of imaging modalities in identifying complications of Meckel’s diverticulum. It is important to raise awareness of this fatal cause for small bowel obstruction and to help identify suggestive imaging features, which may point towards a possible complicated Meckel’s diverticulum. Earlier recognition and diagnosis could reduce morbidity and mortality.

Keywords

Meckel’s Diverticulum; internal hernia; small bowel obstruction

Conflicts of Interest

The authors declare no conflicts of interest.

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