scholarly journals Ileectomy performed on a case of adult intussusception due to inversion of Meckel’s diverticulum

2020 ◽  
Vol 2020 (1) ◽  
Author(s):  
Iku Abe ◽  
Masaaki Saito ◽  
Taro Ikeda ◽  
Rintaro Fukuda ◽  
Akira Tanaka ◽  
...  
Keyword(s):  
Meckel’S Diverticulum ◽  
Polypoid Lesion ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Mucous Gland ◽  
Adult Intussusception ◽  
Lead Point ◽  
Surgical Specimen ◽  
Laparoscopic Assisted ◽  
Inverted Meckel’S Diverticulum

Abstract We report a rare case of adult intussusception caused by an inverted Meckel’s diverticulum with ectopic pancreatic tissue. A 43-year-old woman was referred to our hospital with complaints of abdominal distention, intermittent abdominal pain and nausea that she experienced 3 months ago. Abdominal computed tomography scans demonstrated ileo-ileal intussusception that contained a tumor with fat density as the lead point. Laparoscopic-assisted partial resection of the small intestine was performed. The surgical specimen showed an elongated polypoid lesion invaginated into the intestinal tract indicating an inverted Meckel’s diverticulum. Pathological findings showed a true diverticulum that ran antimesentrically, with tall columnar epithelium, a mucous gland and an islet of Langerhans. The postoperative period was uneventful, and she was discharged on the ninth postoperative day.

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.

scholarly journals Inverted Meckel’s Diverticulum with Ectopic Pancreatic Tissue as a Source of Severe Gastrointestinal Bleeding

2009 ◽  
Vol 14 (3) ◽  
pp. 578-581 ◽  
Author(s):  
Marcela Kopáčová ◽  
Ladislav Vykouřil ◽  
Zdeněk Vacek ◽  
Věra Tyčová ◽  
Jolana Bártová ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Meckel’S Diverticulum ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Ectopic Pancreatic Tissue ◽  
Inverted Meckel’S Diverticulum

Adult Intussusception Due to Inverted Meckel's Diverticulum

2003 ◽  
Vol 13 (1) ◽  
pp. 39-41 ◽  
Author(s):  
Tayfun Karahasanoglu ◽  
Kemal Memisoglu ◽  
Ugur Korman ◽  
Aydin Tunckale ◽  
Asli Curgunlu ◽  
...  
Keyword(s):  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Adult Intussusception ◽  
Inverted Meckel’S Diverticulum

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 A CASE OF ADULT INTUSSUSCEPTION CAUSED BY AN INVERTED MECKEL'S DIVERTICULUM

2011 ◽  
Vol 72 (8) ◽  
pp. 2042-2045
Author(s):  
Maiko ITO ◽  
Tatsuo OKUMOTO ◽  
Tetsuya FUJII ◽  
Yoshiaki KANAYA ◽  
Shuichiro MARUYAMA ◽  
...  
Keyword(s):  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Adult Intussusception ◽  
Inverted Meckel’S Diverticulum

scholarly journals Intussusception in an Adult due to Inverted Meckel's Diverticulum with Ectopic Pancreatic Tissue

2010 ◽  
Vol 79 (Suppl 1) ◽  
pp. S41
Author(s):  
Ye-Won Jun ◽  
Bong Hyun Kye ◽  
Hyung Jin Kim ◽  
Hyeon-Min Cho ◽  
Changyoung Yoo ◽  
...  
Keyword(s):  
Meckel’S Diverticulum ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Ectopic Pancreatic Tissue ◽  
Inverted Meckel’S Diverticulum
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