{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T06:15:24Z","timestamp":1775542524520,"version":"3.50.1"},"reference-count":20,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010814","name":"Anhui Provincial Department of Education","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010814","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Meckel's diverticulum (MD) is the most prevalent congenital anomaly of the small intestine. Internal hernia secondary to MD is extremely rare in children and poses a diagnostic and therapeutic challenge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We report three consecutive paediatric cases successfully managed by laparoscopy-assisted trans-umbilical Meckel's diverticulectomy (LATUM) and provide a comprehensive review of the world literature. Clinical data of three children with MD complicated by internal hernia treated between March 2023 and April 2024 were retrospectively analysed. A systematic search of PubMed, Web of Science and Google (up to June 2025) was performed to identify previously published paediatric cases. Two boys and one girl (median age: 7 years, range: 7\u201311) presented with acute abdominal pain and vomiting. Pre-operative imaging suggested intestinal obstruction or intussusception. Laparoscopy revealed internal hernia formed by a mesodiverticular band (MDB) in all cases. LATUM was completed without conversion. Median operative time was 65\u2005min (range: 50\u201390, IQR: 55\u201375), estimated blood loss was 10\u2005mL (range: 5\u201315, IQR: 7.5\u201312.5), and time to first flatus was 24\u2005h (range 18\u201336, IQR 20\u201330). Median hospital stay was 7.5 days (7\u20138). No complications occurred during a median follow-up of 16 months. The literature review yielded 25 additional paediatric cases. Including our series, 28 children have been reported; 9 cases (32.14%) used LATUM, 8 cases (28.57%) used open resection, and 11 cases (39.29%) did not describe the surgical approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>LATUM offers a safe, minimally invasive and cosmetically superior option for children with MD complicated by internal hernia. A high index of suspicion and early laparoscopy are crucial to avoid bowel necrosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1752428","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T05:34:49Z","timestamp":1775540089000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Laparoscopy-assisted trans-umbilical Meckel's diverticulectomy for Meckel's diverticulum complicated by internal hernia: a three-case series and narrative literature review"],"prefix":"10.3389","volume":"14","author":[{"given":"Qiang","family":"Hao","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wannan Medical College","place":["Wuhu, China"]},{"name":"Department of Medical Biology of Wannan Medical College, Wannan Medical College","place":["Wuhu, China"]},{"name":"Department of Graduate School, Wannan Medical College","place":["Wuhu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wannan Medical College","place":["Wuhu, China"]},{"name":"Department of Medical Biology of Wannan Medical College, Wannan Medical College","place":["Wuhu, China"]},{"name":"Department of Graduate School, Wannan Medical College","place":["Wuhu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenrui","family":"Mi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wannan Medical College","place":["Wuhu, China"]},{"name":"Department of Medical Biology of Wannan Medical College, Wannan Medical College","place":["Wuhu, China"]},{"name":"Department of Graduate School, Wannan Medical College","place":["Wuhu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tingting","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Science and Technology, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wannan Medical College","place":["Wuhu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aiqin","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Medical Biology of Wannan Medical College, Wannan Medical College","place":["Wuhu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wannan Medical College","place":["Wuhu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,7]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1002\/jpr3.12140","article-title":"Meckel's diverticulum: a challenging diagnosis","volume":"5","author":"Kaihlanen","year":"2024","journal-title":"JPGN Rep"},{"key":"B2","doi-asserted-by":"publisher","first-page":"340","DOI":"10.4103\/jiaps.JIAPS_392_20","article-title":"Meckel\u2019s diverticulum\u2014clinical presentation and pitfalls in diagnosis in the pediatric age group in Singapore","volume":"27","author":"Devi","year":"2022","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"562","DOI":"10.1007\/s12262-024-04201-y","article-title":"Segmental bowel resection in an infant via single-incision laparoscopic surgery","volume":"87","author":"Arredondo Montero","year":"2025","journal-title":"Indian J Surg"},{"key":"B4","first-page":"369","article-title":"Meckel\u2019s diverticulum: a 10-year review of 218 cases","volume":"11","author":"Seagram","year":"1968","journal-title":"Can J Surg"},{"key":"B5","first-page":"182","article-title":"Mesodiverticular band and sudden death in children. 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