Surgical treatment of the complications associated
with Meckel’s diverticulum is widely accepted, but surgical management of an
asymptomatic diverticulum found incidentally during laparotomy for other
reasons is controversial. Appendectomy is the most common reason for laparotomy
in many pediatric surgery clinics. The most common causes of an intestinal
obstruction in the early period after appendectomy are an intra-abdominal
abscess, adhesive small bowel obstruction and invagination. Obstruction due to
Meckel’s diverticulum is reported rarely. In this study, we present 2 cases,
five and eleven years old, with an asymptomatic Meckel’s diverticulum where
appendectomy was performed due to acute and perforated appendicitis and
obstruction developed due to Meckel’s diverticulitis in the postoperative early
stage. Meckel’s diverticulitis must be considered in intestinal obstruction
cases developing in the early stages after appendectomy although quite rare.
Cite this paper
Turk, E. , Tan, A. , Karaca, F. , Edırne, Y. and Karaca, I. (2013) Postoperative intestinal obstruction caused by Meckel’s diverticulitis after appendectomy. Open Journal of Pediatrics
, 346-349. doi: 10.4236/ojped.2013.34062
 Aarnio, P. and Salonen, I.S. (2000) Abdominal disorders arising from 71 Meckel’s diverticulum. Annales Chirurgiae et Gynaecologiae, 89, 281-284.
 Ueberrueck, T., Meyer, L., Koch, A., et al. (2005) The significance of Meckel’s diverticulum in appendicitis—A retrospective analysis of 233 cases. World Journal of Surgery, 29, 455-458.
 Ahlberg, G., Bergdahl, S., Rutqvist, J., et al. (1997) Mechanical small-bowel obstruction after conventional appendectomy in children. European Journal of Pediatric Surgery, 7, 13-15.
 Khairy, G.A., Afzal, M.F., Murshid, K.R., et al. (2005) Post appendectomy small bowel obstruction. Saudi Medical Journal, 26, 1058-1060.
 Laporte, Bouchit and Forissier (1956) Postoperative obstruction caused by diverticulitis after appendectomy for acute appendicitis. Bordeaux Chirurgical, 1, 47-49
 Cullen, J.J., Kelly, K.A., Moir, C.R., et al. (1994) Surgical management of Meckel’s diverticulum. An epidemiologic, population-based study. Annals of Surgery, 220, 564-568, discussion 568-569.
 Zani, A., Eaton, S., Rees, C.M., et al. (2008) Incidentally detected Meckel diverticulum: To resect or not to resect? Annals of Surgery, 247, 276-281.
 Korkmaz, O., Yilmaz, H.G. and Keles, C. (2008) Complications of Meckel’s diverticulum in adults. Dicle Medical Journal, 35, 91-95.