PMC6195940_01
(a) Coronal reconstruction; (b) sagittal MIP reconstruction; (c) volume rendering parasagittal view; (d) oblique MIP reconstruction; (e) curved reconstruction; (f) volume rendering paracoronal view. Coronal reconstruction (a) of contrast-enhanced CT scan shows diffuse small intestine dilatation (asterisk) with multiple air-fluid levels. The transition point between the distended and the collapsed bowel loops is located at the level of a fibrous connection between the MD (arrow) and the anterior abdominal wall. A cluster of collapsed bowel loops (arrowheads; b, c, d and f) herniated throughout this orifice (circles in b, c, d and f) and configuring an internal hernia is also clearly visible. Figure (e) represents a curved reconstruction that shows the origin the MD from the ileal antimesenteric border (arrow). MD, Meckel's diverticulum; MIP, maximum intensity projection.
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fig1
A cluster of collapsed bowel loops, approximately 50 cm, was herniated throughout this orifice, configuring an internal hernia (Figure 1).
Laparoscopic exploration by 30 , 5-mm laparoscope revealed distension of the small bowel (a). In (b) laparoscopic view of focus of the bowel obstruction is reported. The ileum was incarcerated inside the hernia orifice between the MD (M) and the abdominal wall. (c) Serosal surface of a  5.6 cm MD (M) located on the antimesenteric side of the ileum was revealed. The fibrous band (arrowhead) is also clearly visible. In (c) and (d) the surgical procedure is reported: the fibrous band was released, the incarcerated bowel was normalized and the MD was sectioned by a laparoscopic linear stapler. MD, Meckel's diverticulum.
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fig2
The fibrous band was released, the incarcerated bowel was normalized and the MD was sectioned by a laparoscopic linear stapler (Figure 2).