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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Acute small bowel obstruction as a result of a Meckel's diverticulum encircling the terminal ileum: A case report. | Journal of Medical Case Reports BioMed Central Case report Open Access Acute small bowel obstruction as a result of a Meckel s diverticulum encircling the terminal ileum A case report Avnesh S Thakor Siong S Liau and Dermot C o Riordan Address Department of Surgery West Suffolk Hospital Bury St. Edmunds IP33 2QZ UK Email Avnesh S Thakor - asthakor@hotmail.com Siong S Liau - liauss@hotmail.com Dermot C o Riordan - dermot.o riordan@wsh.nhs.uk Corresponding author Published 23 March 2007 Received 22 December 2006 Journal of Medical Case Reports 2007 1 8 doi 10.1186 1752-1947-1-8 Accepted 23 March 2007 This article is available from http www.jmedicalcasereports.cOm content 1 1 8 2007 Thakor et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background In the developed world small bowel obstruction accounts for 20 of all acute surgical admissions. The aetiology for majority of these cases includes postoperative adhesions and herniae. However a relatively uncommon cause is a Meckel s diverticulum. Although this diagnosis is primarily reported in the adolescent population it should also be considered in adults. Case Presentation In the present report we present a rare case where a fit and healthy 74-year-old gentleman with no previous history of abdominal surgery presented with the cardinal symptoms and signs of small bowel obstruction as the result of a Meckel s diverticulum encircling his terminal ileum. Initial investigations included a supine abdominal x-ray showing dilated loops of small bowel and computerised tomographic imaging of the abdomen which revealed a stricture in the terminal ileum of unknown aetiology. At laparotomy multiple loops of distended small bowel were seen from the duodeno-jeujenal junction to
