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Internal Herniation beneath Mesodiverticular Band Producing Ambiguous Picture in Intestinal Obstruction: A Management Dilemma

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Introduction: Mesodiverticular band is a rare cause of obstruction due to Meckel's diverticulum complication. However, exact incidence could not be found in literature. Obstruction as a complication of the Meckel's diverticulum is the most common presentation in adults. Case Report: We present here a case of intestinal obstruction by mesodiverticular band in a 13-year-old child with an ambiguous picture by patient clinically settling with conservative treatment but radiologically air fluid levels still persisting. Conclusion: Mesodiverticular band cannot be diagnosed preoperatively and because of the loosely entrapped loop, obstruction is not complete. So it produces difficult situation for the surgeon to take decision in favor of surgery.

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