MECKEL'S DIVERTICULUM AS A CONDUIT IN ABDOMINAL MESOTHELIAL NODULAR HYPERPLASIA DUE TO CASTOMACH: A CASE REPORT

A 23-year-old male patient presented to Surgical department for acute intestinal obstruction of 3 days duration, emergency laparotomy revealed 500-600ml of ascetic fluid, most of the small and whole of the large bowel omentum and anterior wall of the stomach was studded with numerous tubercles, the mesentery was tethered to the posterior abdominal wall due to extensive fibroses and the ileo-caecal junction was also fibrosed. During surgery we encountered technical difficulty of mobilizing any part of bowel for diversion, it so happened that a patient was blessed to have Meckel's diverticulum and diversion was performed similar to loop illeostomy. Histopathology of the omentum revealed nodular mesothelial hyperplasia, Oesopho-gastroduodenoscopy revealed antral growth of the stomach. Whole of case scenario been depicted.