Laparoscopic surgery for small-bowel obstruction caused by Meckel’s diverticulum

Figure 1 Abdominal plain X-ray examination demonstrated a ladder-like series of distended small-bowel loops.

Figure 2 Contrast-enhanced computed tomography (coronal section image) showing a blind loop of the bowel extending near the uterus (arrowhead) and a fibrotic band connecting the mesentery to the top of the bowel (arrow) suggesting Meckel’s diverticulum and a mesodiverticular band. The terminal ileum appeared to be conglutinated to the band and a change in caliber was ascertained.

Figure 3 99mTc-Na-pertechnetate revealed uptake in the lower abdomen (arrowhead).

Figure 4 The resected Meckel’s diverticulum and adjunctive small intestine. The cut mesodiverticular band is seen at the blind end of the diverticulum (arrowhead).

Figure 5 Histological features of the diverticulum. Heterotopic gastric mucosa was seen in the mucosa of the diverticulum (hematoxylin-eosin staining, × 100).