Persistence of a vitelline artery on a Meckel’s diverticulum as a cause of bowel infarction

  • Mauricio Gonzalez-UrquijoEmail author
  • Matilde Espino-Rodriguez
  • Andrea Romero-Davila
  • Mario Rodarte-Shade
  • Ger ardo Gil-Galindo
Case Report


Meckel’s diverticulum is a congenital anomaly, resulting from incomplete obliteration of the most proximal portion of the omphalomesenteric duct. It generally remains silent, but life-threatening complications may arise in 4–6% of the patients. We present a case of a 16-year-old male, who arrived at the emergency room with crampy abdominal pain, nausea, and vomiting, suggestive of acute appendicitis. Surgical exploration revealed 150 cm of infarcted small bowel, secondary to a mesodiverticular band of a Meckel’s diverticulum at the site of obstruction. The ischemic small bowel with Meckel’s diverticulum was resected, and an ileo-ileal anastomosis was carried out. The postoperative course was uneventful, and the patient was discharged on the fifth postoperative day. He was seen 12 months after his initial surgery, with a favorable outcome.


Meckel’s diverticulum Mesodiverticular band Bowel obstruction Bowel ischemia 



This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Compliance with ethical standards

Conflicts of interest

The authors declare that they have no conflict of interest.

Human rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of Tecnologico de Monterrey ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

Informed consent

Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal on request.


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Copyright information

© Japanese Society of Gastroenterology 2019

Authors and Affiliations

  1. 1.Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la SaludMonterreyMexico
  2. 2.Hospital Metropolitano “Dr. Bernando Sepúlveda”Nuevo LeónMexico

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