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Article
January 27, 1923

ACUTE INTESTINAL OBSTRUCTION CAUSED BY FECAL IMPACTION IN MECKEL'S DIVERTICULUM

Author Affiliations

Adjunct Attending Surgeon, Michael Reese Hospital; Clinical Assistant in Surgery, Northwestern University Medical School; Resident Surgeon, Michael Reese Hospital CHICAGO
From the Surgical Service of the Sarah Morris Hospital, Michael Reese Hospital.

JAMA. 1923;80(4):230-231. doi:10.1001/jama.1923.02640310010003
Abstract

The case here reported is of unusual interest on account of the rarity of the pathologic condition. In a search of the literature we were unable to find any other case in which a fecal impaction starting in a Meckel's diverticulum had resulted in an intestinal obstruction. Numerous cases of intestinal obstruction due to Meckel's diverticulum have been recorded. Halstead,1 in 1902, quoted Lichtenstern as noting a Meckel's diverticulum to be the cause of intestinal obstruction in 6 per cent. of all cases of acute obstruction. The obstruction in the cases reported has been brought about in various ways. In most cases a loop of bowel has been caught under or over the terminal filament of the diverticulum in much the same way as in the case of a postoperative adhesion. The diverticulum has at times knotted itself about a loop of intestine. Many cases have been reported in

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