Laparoscopic Small Bowel Resection with Intra-Corporeal Anastomosis for Meckel's Diverticulitis

Jarrod Buzalewski, DO; Apurva Trivedi, DO; Jason Kuhn, DO; Joseph Bannon, MD, FACS; Ryan Horsley, DO

Product Details
Product ID: ACS-5716
Year Produced: 2019
Length: 9 min.


Meckel's diverticulum, a congenital anomaly resulting from incomplete obliteration of the omphalomesenteric duct, is the most common gastrointestinal tract malformation (2-4% incidence). While painless hematochezia is the most common presentation of a Meckel's in younger children, adults rarely develop complications that include obstruction, intussusception, diverticulitis, hemorrhage, and neoplasm. We describe the case of a 30 year old man that presented to our emergency room with a 24 hour history of periumbilical abdominal pain that migrated to the right lower quadrant, fevers, nausea, and vomiting. He was found to have a leukocytosis and evidence of acute Meckel's diverticulitis on CT imaging. The patient was taken to the operating room and underwent diagnostic laparoscopy, incidental appendectomy, and laparoscopic small bowel resection with intra-corporeal anastomosis. The common channel of the small bowel anastomosis was stapled, and the enterotomies were closed in two layers with running vicryl and interrupted silk sutures. His postoperative course was uneventful and he was discharged home on postoperative day three. The patient was doing very well at three week hospital follow up; he was completely asymptomatic and had returned to work one week after surgery.