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- Title
CO-EXISTENCE OF MECKEL'S DIVERTICULUM AND OVARIAN CYST IN THE CASE OF INTESTINAL OCCLUSION: A CASE REPORT.
- Authors
Galbau, Stefan; Calancea, Andrei; Stancu, Bogdan
- Abstract
Introduction: Meckel's diverticulum is a congenital outpouching or bulge in the lower part of the ileum. Meckel's diverticulum occurs in only 2% of the population. Ovarian cysts are fluid-filled sacs that develop on one or both ovaries. Most ovarian cysts are benign (non-cancerous) and often go away on their own without causing any symptoms. However, in some cases, they can cause discomfort or lead to complications Case Report: A 33-yearold patient with a history of Appendectomy with peritonitis and re-intervention for intestinal occlusion (1997), right ovarian cyst, transferred from the Gynaecology Department to the General Surgery Department Cluj-Napoca accusing diffuse abdominal pain, lack of digestive transit for faecal matter and gas, vomiting started 48 hours ago. Plain abdominal X-ray shows multiple hydro-aerial levels and during the clinical examination sensitivity to superficial and deep palpation of the abdomen. In these conditions establishing the diagnosis of intestinal occlusion due to adhesion syndrome is surgically intervened as an emergency, thus exploratory laparotomy was performed, with aspiration of 200ml serocitrin fluid, adhesiolysis, biopsy of mesenteric adenopathy and excision of Meckel's diverticulum, puncture and evacuation of the right ovarian cyst and drainage of the pouch of Douglas. Postoperative evolution was favorable under antibiotic, antiaglic, antispasmodic, anticoagulant and gastric protector treatment with a clean wound in the process of healing, the resumption of digestive transit and nutrition and the suppression of the drain tube on the 5th postoperative day. The patient is discharged surgically cured Discussions : Certainly: The rarity of concurrent Meckel's diverticulum and ovarian cysts in a patient with intestinal occlusion underscores the need for surgical awareness during routine procedures. This case emphasizes the importance of thorough preoperative evaluation and intraoperative vigilance to identify unexpected complexities that may influence management. It highlights the necessity of interdisciplinary collaboration among healthcare professionals to navigate such intricacies effectively. By maintaining a broad differential diagnosis and fostering teamwork, clinicians can ensure timely and optimal care for patients with diverse clinical presentations, ultimately improving outcomes in both emergency and routine surgical settings. Conclusions: This case emphasizes the vital role of surgical awareness in emergency situations involving intestinal occlusion, especially when co-existing pathologies like Meckel's diverticulum and ovarian cysts are present. Prompt recognition of such complexities underscores the need for a comprehensive diagnostic approach and interdisciplinary collaboration among healthcare professionals to ensure timely and effective management, ultimately leading to improved patient outcomes.
- Subjects
ROMANIA; HEALTH literacy; INTERPROFESSIONAL relations; MECKEL diverticulum; ABDOMINAL surgery; CONFERENCES &; conventions; OPERATIVE surgery; OVARIAN cysts; MEDICAL emergencies; BOWEL obstructions; HEALTH care teams; COMORBIDITY
- Publication
Acta Marisiensis. Seria Medica, 2024, Vol 70, p153
- ISSN
2668-7755
- Publication type
Article