scholarly journals An unusual case of intramural Meckel's diverticulum as a lead point for ileoileal intussusception – Laparoscopically assisted management

2013 ◽  
Vol 1 (5) ◽  
pp. 111-113 ◽  
Author(s):  
M. Lima ◽  
T. Gargano ◽  
M. Maffi
Keyword(s):  
Unusual Case ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Lead Point ◽  
Assisted Management

scholarly journals Adult intussusception associated with mesenteric Meckel’s diverticulum and antimesenteric ileal polyp

2019 ◽  
Vol 12 (9) ◽  
pp. e230612
Author(s):  
Adrian K McGrath ◽  
Fatimah Suliman ◽  
Noel Thin ◽  
Ashish Rohatgi
Keyword(s):  
Small Bowel ◽  
Primary Anastomosis ◽  
Meckel’S Diverticulum ◽  
Small Bowel Resection ◽  
Meckel's Diverticulum ◽  
Adult Intussusception ◽  
Histopathological Analysis ◽  
Lead Point ◽  
Benign Polyp ◽  
Antimesenteric Border

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.

Heterotopic Pancreas as Lead Point in Intussusception: New Variant of Vitellointestinal Tract Malformation

1999 ◽  
Vol 2 (4) ◽  
pp. 367-370 ◽  
Author(s):  
Robin Abel ◽  
Charles E. Keen ◽  
John B. Bingham ◽  
John Maynard ◽  
Meena R. Agrawal ◽  
...  
Keyword(s):  
Small Intestine ◽  
Meckel’S Diverticulum ◽  
Pancreatic Tissue ◽  
Heterotopic Pancreas ◽  
Meckel's Diverticulum ◽  
Ectopic Gastric Mucosa ◽  
Lead Point ◽  
Heterotopic Pancreatic Tissue ◽  
New Variant ◽  
Acinar Tissue

Two cases of intussusception are reported with heterotopic pancreatic tissue attached to and draining into the ileum. The first patient, a boy aged 16 months, presented with ileoileal intussusception. The diagnosis was confirmed on ultrasound scan. Laparotomy and resection were performed. A 12-mm nodule of heterotopic pancreatic tissue was identified in the ileal serosa at the apex of the intussusceptum, fully formed with acinar tissue, islets, and draining duct. The second patient, also a boy aged 16 months, presented with obstructed ileocolic intussusception in which the lead point at surgery resembled a Meckel's diverticulum. Histopathology revealed a similar 10-mm nodule of fully formed pancreatic tissue in the ileal serosal tissues, with some acinar tissue extending through the wall of the intestine alongside ductal structures. In both cases there was ectopic gastric mucosa either in the distal part of the draining duct or in the small intestine itself at the opening. Heterotopic pancreas is a rare cause of intussusception. We propose that this lesion is of vitellointestinal tract origin, conceptually similar to a Meckel's diverticulum but without a diverticulum as such. Heterotopic pancreatic tissue occurring alone is more common in the proximal small intestine, duodenum, and stomach than in the ileum, and it is often asymptomatic.

AN UNUSUAL CASE OF MECKEL'S DIVERTICULUM

The Lancet ◽  
1935 ◽  
Vol 225 (5833) ◽  
pp. 1388 ◽  
Author(s):  
JohnA. Mackenzie
Keyword(s):  
Unusual Case ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum

SPONTANEOUS PERFORATION OF MECKEL'S DIVERTICULUM: A CASE REPORT AND REVIEW OF LITERATURE

2021 ◽  
pp. 50-51
Author(s):  
B. Santhi ◽  
Subhashini . A ◽  
Preethi. V
Keyword(s):  
Case Report ◽  
Unusual Case ◽  
Iliac Fossa ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Uneventful Recovery ◽  
Emergency Laparotomy ◽  
High Grade Fever ◽  
Meckels Diverticulum ◽  
The Right

Meckel's diverticulum is the commonest congenital abnormality of the gastrointestinal tract. Hemorrhage obstruction and inammation are the three main categories of complications resulting from Meckel's diverticulum. Spontaneously perforation of Meckel's diverticulum is very rare and mimics acute appendicitis. We report a case of 65 year-old female, who presented since 2 days worsening abdominal pain predominantly in the right iliac fossa associated with high grade fever and nausea. On physical examination her abdomen revealed diffuse tenderness, more over the right iliac fossa and the hypogastric region with guarding in the right iliac fossa. A provisional diagnosis of appendicular perforation was made. Our patient had an emergency laparotomy, where a perforated Meckel's diverticulum and advanced peritonitis were discovered. A resection of ileum with meckels diverticulum with end to end anastomosis of ileal loops were performed. Heterotopic mucosa of diverticulitis was conrmed on histopathology. The patient made an uneventful recovery postoperatively . This case report is an interesting and unusual case of Meckel's diverticulum complications and highlights the importance of considering Meckel's diverticulum as a differential diagnosis in every patient presenting with acute abdomen.

scholarly journals Inverted Meckel’s diverticulum: a rare cause of intussusception in children

2020 ◽  
Vol 8 (9) ◽  
pp. 3370
Author(s):  
Sitikantha Nayak ◽  
Baikuntha Narayan Mishra ◽  
Sudhansu Sekhar Patra ◽  
Ranjit Kumar Joshi ◽  
Prabin Prakash Pahi ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Male Child ◽  
The Other ◽  
Proximal Segment ◽  
Lead Point ◽  
Common Cause ◽  
Inverted Meckel’S Diverticulum

Invagination of proximal segment of intestine to distal one results in intussusceptions and is a common cause of intestinal obstruction in children. In most of the cases of intussusceptions, the cause is idiopathic in nature; the other causes may be infection, polyp or anatomical abnormalities. Occasionally, Meckel’s diverticulum may cause intussusception and inverted Meckel’s diverticulum leading to intussusceptions is very rare in children. It is difficult to diagnose inversion of Meckel’s diverticulum preoperatively. Here in we report a case of 6 yrs old male child, who was operated for intussusception and found to have inverted Meckel’s diverticulum as lead point.      

scholarly journals Inverted Meckel’s diverticulum: a case report 

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Lovenish Bains ◽  
Rahul Bhatia ◽  
Rohit Kaushik ◽  
Pawan Lal ◽  
Gayatri Rajpaul ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Intestinal Obstruction ◽  
Meckel’S Diverticulum ◽  
Rare Condition ◽  
Meckel's Diverticulum ◽  
Uneventful Recovery ◽  
Lead Point ◽  
Computed Tomography Images ◽  
Recurrent Intussusception ◽  
Inverted Meckel’S Diverticulum

Abstract Background Inverted Meckel’s diverticulum refers to the condition in which the diverticulum inverts on itself. The reasons for such an inversion are poorly understood due to the rarity of the condition. We present a case of inverted Meckel’s diverticulum, an uncommon finding, as a cause of recurrent intussusception. Case presentation A 30-year old Indian woman presented with complaints of pain in the central abdomen for 3 days, accompanied with vomiting and loose stools. Computed tomography images were suggestive of intussusception with intestinal obstruction. Intra-operative findings were suggestive of an intussuscepted segment of ileum measuring 10 cm in length, proximal to ileocecal junction. Ileo–ileal anastomosis was performed after appropriate resection. Upon opening the specimen, we were surprised to find an inverted Meckel diverticulum with lipoma at one end causing the intussusception. The patient made an uneventful recovery and was discharged after 5 days. Conclusion The reasons for inversion include abnormal peristalsis around the diverticulum and non-fixity of the diverticulum itself. The inverted diverticulum itself can cause luminal compromise and acts as a lead point for intussusception leading to obstruction. Computed tomography remains the diagnostic tool of choice for identifying intestinal obstruction and intussusception. Although pathological signs, such as lipoma, can be identified, the identification of any inversion will require a proficient radiologist. Inverted Meckel’s diverticulum is a rare condition which is difficult to diagnose preoperatively. Treatment is surgical, whether diagnosed pre-operatively or intra-operatively, and includes segmental resection and anastomosis. This uncommon condition should be noted as one-off differential diagnosis for intussusception and intestinal obstruction.

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