PMC4429958_01
Showing hernial sac formed by the unusual mesentery with herniated bowel loops and fluid and Meckel's diverticulum encircling the sac.
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fig0005
About 50 cm s away from ileo-caecal junction, was herniated loops of bowel through unusual mesentery of Meckel's extending from base of diverticulum to the band which was running from it's tip to adjacent mesentry encircling the herniated loops of intestine forming a complete hernial sac (Figs. 1-3).
Another view showing Meckel's diverticulum arising from ileum along with hernial sac and its contents.
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PMC4429958_01_gr2.jpg
fig0010
About 50 cm s away from ileo-caecal junction, was herniated loops of bowel through unusual mesentery of Meckel's extending from base of diverticulum to the band which was running from it's tip to adjacent mesentry encircling the herniated loops of intestine forming a complete hernial sac (Figs. 1-3).
Showing two parts of sac with its content, one formed by mesentery along adhesion band with its mouth and other by mesentery along diverticulum with its mouth.
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PMC4429958_01_gr3.jpg
fig0015
About 50 cm s away from ileo-caecal junction, was herniated loops of bowel through unusual mesentery of Meckel's extending from base of diverticulum to the band which was running from it's tip to adjacent mesentry encircling the herniated loops of intestine forming a complete hernial sac (Figs. 1-3).
After reduction of hernial contents, showing diverticulum, adhesion band and the attached mesentery.
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fig0020
Careful manual reduction of herniated loops was done (Fig. 4) and the band was released which revealed Meckel's diverticulum with its mesentery forming the hernial sac (Fig. 5a).
(a) After division of the band showing the diverticulum and attached mesentery. (b) Showing bilobed appearance of the sac.
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fig0025
The attachment of the diverticulum along with its adhesive band was rotated over the hernial sac in such a way thus giving the appearance of bilobed sac (Fig. 5b).