scholarly journals Littre Hernia: A Rare Case of an Incarcerated Meckel’s Diverticulum

2017 ◽  
Vol 03 (02) ◽  
pp. E91-E92 ◽  
Author(s):  
Brian Malling ◽  
Andreas Karlsen ◽  
Jesper Hern
Keyword(s):  
Congenital Anomaly ◽  
Small Intestine ◽  
Rare Case ◽  
Meckel’S Diverticulum ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Ectopic Gastric Mucosa ◽  
Common Complication ◽  
Vitelline Duct ◽  
Littre Hernia

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.

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.

scholarly journals Inverted Meckel's diverticulum associated with heterotopic pancreatic tissue causing intestinal obstruction: a case report

2021 ◽  
Vol 45 (1) ◽  
Author(s):  
Mahmoud Kamel ◽  
Hani Barsoum ◽  
Suzan Talaat ◽  
Eman Mustafa
Keyword(s):  
Congenital Anomaly ◽  
Small Intestine ◽  
Intestinal Obstruction ◽  
Meckel’S Diverticulum ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Case Presentation ◽  
Heterotopic Pancreatic Tissue ◽  
Heterotopic Tissue ◽  
Inverted Meckel’S Diverticulum

Abstract Background Meckel’s diverticulum is the most frequent congenital anomaly of the gastrointestinal tract. It can invert or invaginate into the small intestine lumen. It is usually associated with heterotopic tissue elements. Case presentation We present a case of inverted Meckel's diverticulum, clinically and radiologically diagnosed as intestinal obstruction due to intussusceptions. The diagnosis was suspected due to target sign shown on radiological examination. Pathologically, it was inverted Meckel's diverticulum obstructing the lumen in parallel plan mimicking the telescoping appearance, with heterotopic pancreatic tissue formed of exocrine and ductal components only. Conclusions Inverted Meckel’s diverticulum may present by vague symptoms and may simulate other causes of intestinal obstruction.

scholarly journals Meckel’s diverticulum: a cadaveric case report

2017 ◽  
Vol 5 (4) ◽  
pp. 1715
Author(s):  
Shreya Sharma ◽  
Preksha Sharma ◽  
Sangita Chauhan
Keyword(s):  
Small Intestine ◽  
Meckel’S Diverticulum ◽  
Muscularis Propria ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Vitelline Duct ◽  
Ileocecal Junction ◽  
Mesenteric Border ◽  
The Common ◽  
Heterotopic Tissue

Meckel's diverticulum is the common congenital anamoly of the gastrointentestinal tract, caused due to failure of involution of vitelline duct after seventh or eighth week of intra-uterine life. It is usually present within the last 90cm of terminal ileum.  Histologically, Meckel's diverticulum consists of all layers of small intestine. Rarely, heterotopic tissue is present derived from gastric or pancreatic tissue. In the case presented here, Meckel's diverticulum was found on the ante mesenteric border of the ileum with no peritoneal attachment during routine Anatomy cadaveric dissection. It was present 26cm proximal to the ileocecal junction, with no attachment to umbilicus. It’s blood supply was derived from the vitelline artery. Histological examination revealed the presence of 3 layers: mucosa, submucosa and muscularis propria with no heterotopic tissue.

scholarly journals Intestinal Intussusception Due to Meckel’s Diverticulum.

2019 ◽  
pp. 1-5
Keyword(s):  
Congenital Anomaly ◽  
Gastrointestinal Tract ◽  
General Population ◽  
Rare Case ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Abdominal Complications ◽  
Intestinal Intussusception

Abstract Meckel’s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract and affects 1% - 4% of the general population. Most patients are asymptomatic throughout their lives, but it is estimated that 4% - 6% will have some symptoms, which usually occur due to abdominal complications. This study aimed to report a rare case of Meckel’s diverticulum complicated by intestinal intussusception.

Pancreatic Endocrine Heterotopia Involving Meckel’s Diverticulum: A Potential Mimic of Neuroendocrine Tumor

2020 ◽  
pp. 106689692093400
Author(s):  
Daniel J. Rowan ◽  
Lizhi Zhang ◽  
Valentina Logunova
Keyword(s):  
Neuroendocrine Tumor ◽  
Immunohistochemical Staining ◽  
Rare Case ◽  
Endocrine Cells ◽  
Meckel’S Diverticulum ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Pancreatic Heterotopia ◽  
Well Differentiated ◽  
Upper Gastrointestinal

Pancreatic heterotopia most commonly occurs in the upper gastrointestinal tract, but can occur in other sites, including Meckel’s diverticulum. When multiple histologic elements of the pancreatic tissue (acini, ducts, and endocrine cells) are present, the diagnosis is typically straightforward. In this article, we report a rare case of pure endocrine pancreatic heterotopia involving a Meckel’s diverticulum, a potential mimic of a well-differentiated neuroendocrine tumor. Several features were useful in making the distinction, including lack of desmoplasia and mass forming lesion, and immunohistochemical staining in a physiological pattern similar to that of islets of Langerhans. It is important for pathologists to be aware of this entity and its features to avoid misdiagnosis of a neuroendocrine tumor.

scholarly journals Littré’s hernia: a rare complication of Meckel’s diverticulum

2017 ◽  
Vol 4 (4) ◽  
pp. 1481 ◽  
Author(s):  
Prakash Kumar Sahoo ◽  
Suman Saurav Rout
Keyword(s):  
Congenital Anomaly ◽  
Inguinal Hernia ◽  
Umbilical Hernia ◽  
Rare Complication ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Unusual Complication ◽  
Hernia Sac ◽  
Littre’S Hernia ◽  
Littre Hernia

Littré’s hernia is caused by the protrusion of Meckel’s diverticulum through an orifice in the abdominal wall. Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal tract that is generally asymptomatic and only manifests in a specific way when complications exist. An unusual complication of Meckel’s diverticulum is known as Littre’s hernia. It comprises less than 1% of all Meckel’s diverticulum. Usual sites of Littre hernia are right inguinal (50% of cases), umbilical hernia (20%), and femoral hernia (20%). We present a case of Littré’s hernia where we found a strangulated Meckel’s diverticulum in an inguinal hernia sac.

scholarly journals Uncomplicated bifid Meckle’s diverticulum mimicking recurrent appendicitis

2018 ◽  
Vol 7 (1) ◽  
pp. 1094-1096
Author(s):  
N Ravishankar ◽  
V Thulasi
Keyword(s):  
Congenital Anomaly ◽  
Acute Appendicitis ◽  
Meckel’S Diverticulum ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Distal Ileum ◽  
Rare Congenital Anomaly ◽  
Rare Anomaly ◽  
Recurrent Appendicitis ◽  
Meckel’S Diverticulitis

Meckel’s diverticulum is the rare congenital anomaly in children. When inflamed it can mimic acute appendicitis. The distal end of the Meckel’s diverticulum is usually rounded and narrow. We present a case of partially bifid Meckel’s diverticulum in a young boy who presented with features of recurrent appendicitis. During appendectomy, a bifid Meckle’s diverticulum was found in therein the distal ileum. It was excised with V shaped ileal wall. Histopathology showed features of Meckel’s diverticulum without any Gastric or pancreatic tissue in mucosa. Clinicians should be wary of a bifid meckel’s diverticulum as a very rare anomaly that can be symptomatic mimicking appendicitis.Keywords: Bifid, Meckel’s, Diverticulitis

scholarly journals Small Bowel Obstruction due to Mesodiverticular Band of Meckel's Diverticulum: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Aziz Sumer ◽  
Ozgur Kemik ◽  
Aydemir Olmez ◽  
A. Cumhur Dulger ◽  
Ismail Hasirci ◽  
...  
Keyword(s):  
Congenital Anomaly ◽  
Small Intestine ◽  
Case Report ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Rare Complication ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum

Meckel's diverticulum is the most common congenital anomaly of the small intestine. Common complications related to a Meckel's diverticulum include haemorrhage, intestinal obstruction, and inflammation. Small bowel obstruction due to mesodiverticular band of Meckel's diverticulum is a rare complication. Herein, we report the diagnosis and management of a small bowel obstruction occurring due to mesodiverticular band of a Meckel's diverticulum.

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