PHẪU THUẬT NỘI SOI ĐIỀU TRỊ THÀNH CÔNG TẮC RUỘT DO DÂY CHẰNG TÚI THỪA MECKEL: BÁO CÁO CA LÂM SÀNG

Abstract

Intestinal obstruction is a common surgical emergency, accounting for about 20% of hospital admissions for acute abdominal pain. Delayed diagnosis and treatment may result in bowel necrosis or death. Among the causes, Meckel’s diverticulum is a rare congenital anomaly of the vitelline duct, occurring in 2 - 3% of the population but becoming symptomatic in only a small proportion. Because of its nonspecific clinical and imaging findings, preoperative diagnosis is often difficult, leading to delayed surgery and serious complications. We report a case of a 17-year-old female presenting with intestinal obstruction and atypical symptoms, who was closely monitored and underwent successful emergency laparoscopic surgery at Military Hospital 103. This case highlights the importance of vigilant clinical observation for timely surgical intervention, while providing a rare sequence of diagnostic evidence, including computed tomography, intraoperative findings, and histopathology. These findings demonstrated a fibrous band arising from the apex of Meckel’s diverticulum and extending to the umbilicus, containing a feeding vessel and causing strangulation of the small intestine. This rare report contributes valuable data to the diagnosis and reinforces the role of laparoscopic surgery in managing intestinal obstruction caused by Meckel’s diverticulum.