A 15 days old male child presented with abdominal distension since 5 days. Erect X-ray abdomen showed presence of pneumoperitoneum. Patient was taken up for exploratory laparotomy. Intraoperatively peritoneal cavity was found to be filled with bilious matter, a perforation was found in ileum just proximal to the base of Meckel’s diverticulum. Small intestinal loops proximal to the Meckel’s diverticulum were found to be dilated and a Meckel’s band was seen causing obstruction of the small intestine and subsequently leading to perforation. The Meckel’s band was divided, a segment of small intestine containing the diverticulum and the perforation was resected and double barrel ileostomy was made. Ileostomy closure was subsequently done after 8 weeks.
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