Single incision laparoscopic surgery for Meckel's diverticulum in an adult.

To cite: Rajendran S, Naqi SA. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014204869 DESCRIPTION A 64-year-old man presented with right-sided abdominal pain. CT demonstrated an inflamed Meckel’s diverticulum (MD) (figure 1). Single-incision laparoscopy (SILS) was performed (figure 2) and MD was identified and exteriorised. Extracorporeal resection and anastomosis of small bowel containing MD was performed. The patient recovered well and was discharged home 2 days later. MD, a true congenital diverticulum, is the most common malformation of the gastrointestinal tract and is present in approximately 2% of the population. It was named after Johann Meckel, who described the omphalovestigial embryological origin in 1809. The most common presenting symptoms are rectal bleeding, intestinal obstruction, volvulus, intussusception and abdominal pain. Technetium99m pertechnetate scintigraphy is the investigation of choice in children while CT is diagnostic in adults. Treatment options are diverticulectomy or ileal resection by open or laparoscopic techniques. SILS is a new modality which aims to reduce the scars of standard laparoscopy, offering a better cosmetic outcome with reduced incisional pain. It also potentially reduces adhesion formation, port-site infections, hernias and enhances the recovery time. The