Adult intussusception caused by Meckel’s diverticulum complicated by anisakiasis of the small intestine: report of a case

2014 ◽  
Vol 7 (4) ◽  
pp. 316-319 ◽  
Author(s):  
Kenei Furukawa ◽  
Kazuhiko Yoshida ◽  
Takuya Nojiri ◽  
Masaichi Ogawa ◽  
Shuzou Kohno ◽  
...  
2019 ◽  
Vol 12 (9) ◽  
pp. e230612
Author(s):  
Adrian K McGrath ◽  
Fatimah Suliman ◽  
Noel Thin ◽  
Ashish Rohatgi

Meckel’s diverticulum is the most common congenital abnormality affecting the gastrointestinal tract, affecting 4% of the general population. It is classically located on the antimesenteric border of the ileum within 100 cm of the ileocaecal valve. Complications may include haemorrhage, bowel obstruction, diverticulitis, perforation and malignancy. This report explores the case of intussusception in an adult, in association with a mesenteric Meckel’s diverticulum and adjacent benign polyp. A 40-year-old man presented with acute abdominal pain, affecting the central abdomen and both flanks. CT imaging revealed small bowel intussusception, with either a Meckel’s diverticulum or polyp acting as a lead point. Intraoperatively, the intussusception had already resolved; however, an inflamed outpouching was identified on the mesenteric border of the ileum, with a firm mass palpable within the bowel lumen. A 70 mm small bowel resection and primary anastomosis were performed. Histopathological analysis confirmed an inflamed Meckel’s diverticulum as well as an adjacent diverticulum comprising a benign polyp.


2017 ◽  
Vol 03 (02) ◽  
pp. E91-E92 ◽  
Author(s):  
Brian Malling ◽  
Andreas Karlsen ◽  
Jesper Hern

A Meckel’s diverticulum is a remnant of the vitelline duct, which leads to the formation of a true diverticulum containing all layers of the small intestine. The diverticulum can contain ectopic gastric, duodenal or pancreatic tissue and is the most common congenital anomaly of the gastrointestinal tract with estimates of prevalence ranging from 0.3% to 3%. The condition is usually clinically silent. In children the most common complication is gastrointestinal bleeding caused by ulceration due to the acid secretion by ectopic gastric mucosa.


2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Seyed Abdollah Mousavi ◽  
Hassan Karami

Introduction. Intestinal obstruction in the setting of Meckel’s diverticulum in young age and with orange and meat bezoar is a rare, previously unreported condition. Since the obstruction point is located immediately after Meckel’s diverticulum in our patients, we attempt to introduce “localized peristalsis insufficiency” as a new etiology for small intestine obstruction while reviewing the findings of previous studies.Conclusion. Intestinal obstruction in the setting of Meckel’s diverticulum and with orange and meat bezoar is a rare, previously unreported condition. Considering the previous reports, we may present the theory oflocalized peristalsis insufficiencyin patients with Meckel’s diverticulum.


2017 ◽  
Vol 176 (5) ◽  
pp. 72-76
Author(s):  
V. V. Podkamenev ◽  
I. A. Pikalo ◽  
I. S. Sharapov ◽  
E. M. Petrov ◽  
M. I. Potemkin ◽  
...  

OBJECTIVE. The study considered the rate and clinical features of recurrent intussusception in children. MATERIAL AND METHODS. Retrospective analysis was made in all patients with intussusception at the period from 2006 to 2016. RESULTS. There were observed 45 cases of intussusception recurrence in 39 (14,5 %) children out of 268. Relapse of intussusception was three times more frequent in boys compared with girls (29 (74,4 %) vs 10 (25,5 %) and it was four times more frequent in children older than one year. The majority of patients (28 (71,8 %) have been admitted to hospital at the first 12 hours since onset of disease. Recurrence of intussusception was more frequent after conservative disinvagination compared with surgery (17,8 % vs 2,5 %; p = 0,026). Pathological formation of the intestine (Meckel’s diverticulum, doubling of the small intestine) were detected in 3 (7,7 %) out of 39 patients with relapse intussusception compared with 3 (1,3 %) out of 229 patients without recurrence (p = 0,05). Conservative treatment was conducted in 23 (59 %) patients and 16 (41,0 %) patients underwent surgery. There weren’t noted severe complications of lethal outcomes. CONCLUSIONS. The authors observed the tendency of frequent recurrence of intussusception in children, especially after conservative treatment.


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