A Case of Single-Incision Laparoscopic Surgery for a Giant Meckelʼs Diverticulum

Abstract A 44-year-old woman with a 10-year history of anemia presented to our hospital with anemia. At the Emergency Room, her initial hemoglobin and hematocrit levels were 10.9 g/dL and 33.4 %, respectively. A gastroscopy and contrast-enhanced computed tomographic scan of the abdomen did not identify any bleeding site. A colonoscopy showed a Meckelʼs diverticulum (MD) with an ulcer, at about 60 cm proximal to the ileocecal junction on the antimesenteric side, and few blood clots in the terminal ileum. Therefore, we performed a diagnostic and therapeutic single-incision laparoscopic surgery (SILS). The diverticulum was resected using a gastrointestinal anastomosis stapler, without requiring small bowel resection. Histopathological examination revealed MD with ectopic gastric tissue. The patient was discharged on postoperative day 7 without any complications. We report our initial experience from Japan with one patient who underwent SILS for MD.