PMC5338894_01
Abdominal x-ray showing dilatation of the small bowel.
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The abdominal x-ray showed a small bowel obstruction (Fig. 1).
Meckel's diverticulum duplication.
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A midline incision was done, we found the distal ileum inside the inguinal ring, and once the adherences were released, a strangulated Meckels diverticulum was seen at 20 cm from the Bauhins valve, it was 3-4 cm in length without any palpable mass in it (Fig. 2). A Noble maneuver was done, and another MD was seen at 90 cm from the Bahuins valve with a length of 1.5-2 cm without a palpable mass in it (Fig. 2).
Meckel's diverticulum with ischemia.
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The ischemic ileum regained its normal coloration and blood flow (Fig. 3); hence, a diverticulectomy was performed.