Mesodiverticular Band Of Meckel‘S Diverticulum, A Rare Cause Of Strangulated Small Bowel Obstruction In An Adult: A Case Report

Mesodiverticular band (believed to be remnant of a vitelline artery) causing gangrene of Meckel’s diverticulum (MD) with simultaneous mechanical small bowel obstruction is the rarest complication of Meckel’s Diverticulum. We report a case of 34 year female, who presented with acute small bowel obstruction caused by Mesodiverticular band of MD. She presented with severe abdominal pain, distension and vomiting. Laparotomy revealed gangrene of Meckel’s diverticulum along with adjacent ileal segment caused by a Mesodiverticular band of MD. The mesodiverticular band was released from the ileal mesentery and the gangrenous ileal segment with MD was resected and an end to end ileoileal anastomosis was performed. The postoperative period was uneventful and the patient was discharged after 6 days. Because of the rarity of this anatomic anomaly in adults, we find this case of interest.

Efficacy and safety of oxum in treatment of the venous ulcer.

The present study was carried out to find out the efficacy and safety of oxum in the treatment of venous ulcers. The oxum (superoxidised water) is a pH neutral, non-irritating, aqueous solution that possesses a good antiseptic, antimicrobial activity and wound healing properties. The study was conducted in 30 patients of venous ulcers with a culture examination positive for pathogenic microbial flora. All patients received a gauze dressing impregnated with oxum followed by compression bandage for 28 days. The primary endpoint was the calculation of ulcer size using ulcer tracing. Assessment of periwound oedema, periwound erythema, wound fibrin and wound granulations were considered as secondary endpoints. There was a singificant reduction in ulcer size starting from day 7 of the treatment. Significant improvements in secondary endpoints were observed. This study has demonstrated that oxum improved the clinical status, reduced the signs of inflammation in venous ulcers in addition to its well confirmed anti-infective properties.

Acute necrotizing gastritis.

A 17-year-old man presented with signs of peritonitis. Laparotomy revealed gangrene of the stomach without obvious cause. The patient underwent total gastrectomy with esophago-jejunal anastomosis with formation of jejunal pouch. Bacterial culture of the peritoneal fluid grew Strept. pyogenes and E. coli. The patient was discharged on day 21 after a stormy postoperative course.

Degloving injury of small intestine.

Self-inflicted stab wounds are seldom very grave. We report a 25-year-old man who inflicted stab wounds with a glass piece under the influence of alcohol. This led to evisceration and later degloving injury to the small bowel. He recovered following surgery.