Meckel's diverticulum: Its association with congenital malformation and the significance of atypical morphology

Meckel’s diverticulum, a congenital malformation of the gastrointestinal tract, is asymptomatic in the majority of patients but can be associated with some complications. Gastrointestinal bleeding is one such complication and is more common in children than in adults. Despite the variety of examinations available, diagnosis can be difficult, especially in older patients, because the sensitivity of examinations decreases with patient age. Here we present the case of a young man with gastrointestinal bleeding in whom a diagnosis of Meckel’s diverticulum was made intra-operatively.

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Perforated Meckel’s Diverticulum Lithiasis: An Unusual Cause of Peritonitis

Case Reports in Surgery ◽

10.1155/2013/825628 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Umasankar Mathuram Thiyagarajan ◽

Amirthavarshini Ponnuswamy ◽

Atul Bagul ◽

Prabakar Ponnuswamy

Keyword(s):

Gastrointestinal Tract ◽

Small Bowel ◽

Intestinal Obstruction ◽

Acute Abdomen ◽

Congenital Malformation ◽

Healthy Individual ◽

Stone Formation ◽

Meckel’S Diverticulum ◽

Exploratory Laparotomy ◽

Meckel's Diverticulum

Meckel’s diverticulum is the commonest congenital malformation of gastrointestinal tract and represents a persistent remnant of the omphalomesenteric duct. Although it mostly remains silent, it can present as bleeding, perforation, intestinal obstruction, intussusception, and tumours. These complications, especially bleeding, tend to be more common in the paediatric group and intestinal obstruction in adults. Stone formation (lithiasis) in Meckel’s diverticulum is rare. We report a case of Meckel’s diverticulum lithiasis which presented as an acute abdomen in an otherwise healthy individual. The patient underwent an exploratory laparotomy which revealed a perforated Meckel’s diverticulum with lithiasis; a segmental resection with end-to-end anastomosis of small bowel was performed. Patient recovery was delayed due to pneumonia, discharged on day 20 with no further complications at 6 months following surgery.

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Meckel's diverticulum: Its association with congenital malformation and the significance of atypical morphology

Journal of Pediatric Surgery ◽

10.1016/s0022-3468(81)80385-5 ◽

1981 ◽

Vol 16 (2) ◽

pp. 212

Author(s):

E. Kiely

Keyword(s):

Congenital Malformation ◽

Meckel’S Diverticulum ◽

Meckel's Diverticulum

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Meckel’s Diverticulum, A Unique Presentation in the Neonate

Journal of Neonatology ◽

10.1177/09732179211054903 ◽

2021 ◽

pp. 097321792110549

Author(s):

Joseph J. Thomas ◽

Matthew J. Thomas ◽

Frieda Hulka ◽

Bruce Sindel

Keyword(s):

Congenital Malformation ◽

Meckel’S Diverticulum ◽

Meckel's Diverticulum ◽

Intestinal Bleeding ◽

Age Group ◽

Provisional Diagnosis ◽

Diagnostic Challenge ◽

Live Births ◽

Atypical Symptoms ◽

Distended Abdomen

Meckel’s diverticulum (MD) is the most prevalent gastrointestinal congenital malformation, occurring in 2% to 4% of all live births. Typical symptoms of MD include intestinal bleeding and bowel obstruction, but MD can also present with many atypical symptoms of varying severity, posing a diagnostic challenge with severe complications if left untreated. Neonates presenting with symptomatic MD are uncommon. In this report, we describe a neonatal case of MD in which the patient presented with atypical symptoms including distended abdomen and constipation mimick necrotizing enterocolitis. This case emphasizes the importance of clinically correlating a provisional diagnosis while maintaining a broad differential, including uncommon conditions in this age group such as MD.

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Ultrastructure of the Omphalomesenteric Duct Rest in the Umbilical Cord at Term

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100053917 ◽

1982 ◽

Vol 40 ◽

pp. 250-251

Author(s):

B. A. Clark ◽

T. Okagaki

Keyword(s):

Umbilical Cord ◽

Umbilical Vein ◽

Meckel’S Diverticulum ◽

Meckel's Diverticulum ◽

Columnar Epithelium ◽

Omphalomesenteric Duct ◽

Umbilical Arteries

Vestiges of the omphalomesenteric or vitello-intestinal duct and the pathologic implications attributed to these remnants have been treated in great detail by several investigators. Persistence of the omphalomesenteric duct is associated with such conditions as Meckel's diverticulum, umbilical fistula, mucosal polyps, and sinuses or cysts of the umbilicus. Remnants of the duct in the umbilical cord, although infrequent, are located outside of the triangle formed by the two umbilical arteries and the umbilical vein, are usually discontinuous and are often represented by a small lumen lined by cuboidal or columnar epithelium. This study will examine the ultrastructure of these cells.

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