scholarly journals Pneumoperitoneum in a Micropremie: Not Always NEC

2012 ◽  
Vol 2012 ◽  
pp. 1-2
Author(s):  
Ahmed Khan ◽  
Koert de Waal
Keyword(s):  
Surgical Intervention ◽  
Meckel’S Diverticulum ◽  
Abdominal Distension ◽  
Good Prognosis ◽  
Meckel's Diverticulum ◽  
Abdominal Radiography ◽  
Rare Presentation ◽  
Free Air ◽  
Female Baby ◽  
Small Perforation

Pneumoperitoneum in the newborn is an acute surgical emergency requiring immediate surgical intervention to ensure survival. It refers to radiological evidence of rupture of an air-containing viscus with resultant soiling of the peritoneal cavity. A female baby was born preterm at 29 weeks with birth weight of 650 grams. She developed abdominal distension on day 6, and abdominal radiography revealed presence of free air in the peritoneum. She proceeded for a laparotomy, and intraoperative findings revealed blood in the peritoneum with an area of inflammation and a small perforation. About 5 cm of the inflamed bowel was resected, and an end to end anastomosis performed. The histopathology of the specimen was consistent with Meckel's diverticulum. Symptomatic Meckel's diverticulum is usually seen in the first two years of life, and perforation is a rare presentation. Perforated Meckel's diverticulum in a premature newborn is very rare, and a review of literature reveals only one other reported case. Newborn Meckel's perforation cases often mimic necrotizing enterocolitis, although many present without any feature of peritonitis. Establishing a preoperative diagnosis of perforated Meckel's is difficult and may not be essential as the treatment remains the same. However, prompt surgical intervention confers a good prognosis in neonates with isolated perforated Meckel's diverticulum.

scholarly journals Meckel’s diverticulum with intraperitoneal hemorrhage in a child detected with screening laparoscopy: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kazuki Wakizaka ◽  
Lee Wee Khor ◽  
Kazuya Annen ◽  
Tsuyoshi Fukushima ◽  
Mitsuko Furuya ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Gastric Mucosa ◽  
Meckel’S Diverticulum ◽  
Lower Abdominal Pain ◽  
Abdominal Distension ◽  
Small Bowel Resection ◽  
Massive Bleeding ◽  
Meckel's Diverticulum ◽  
Ectopic Gastric Mucosa ◽  
Intraperitoneal Hemorrhage

Abstract Background The most common presentation of symptomatic Meckel’s diverticulum (MD) are intestinal obstruction, gastrointestinal hemorrhage, and inflammation of the MD with or without perforation. Intraperitoneal hemorrhage because of MD is extremely rare. We report a case of MD with intraperitoneal hemorrhage in a child detected with screening laparoscopy. Case presentation An 11-year-old girl presented to another hospital with lower abdominal pain and vomiting that lasted for 2 days. Acute appendicitis was suspected, and she was referred to our department. Abdominal enhanced computed tomography showed an abscess in the lower abdomen with ascites in the pelvis. She was diagnosed with a localized intra-abdominal abscess and the decision was made to treat with antibiotics. However, her abdominal pain worsened, with abdominal distension, tenderness and guarding. She was diagnosed with panperitonitis and the decision was made for surgery 5 h after admission. During surgery, laparoscopic observation from the umbilical region revealed 200 ml of fresh blood throughout the peritoneal cavity, originating from the mesentery of the ileum. MD was observed with bleeding from the surrounding mesentery. Small bowel resection was performed, and the patient was discharged on the 5th postoperative day. Pathological findings revealed an MD containing ectopic gastric mucosa and small intestinal ulcer perforation at the base of the MD. Conclusions We report an extremely rare case of an MD with intraperitoneal hemorrhage in a child. In pediatric cases, it is possible that perforation with ectopic gastric mucosa may cause massive bleeding because of rupture of the surrounding mesenteric blood vessels.

scholarly journals Myocardial Ischemia, a Rare Presentation of Meckel’s Diverticulum

2020 ◽  
Author(s):  
Trevor A Nessel ◽  
Connor C. Kerndt ◽  
Zaid J. Shareef ◽  
Christopher Doig
Keyword(s):  
Myocardial Ischemia ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Rare Presentation

scholarly journals Gastrointestinal stromal tumor in perforated Meckel’s diverticulum: a case report and literature review

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Naoki Hashizume ◽  
Saki Sakamoto ◽  
Suguru Fukahori ◽  
Shinji Ishii ◽  
Nobuyuki Saikusa ◽  
...  
Keyword(s):  
Small Bowel ◽  
Gastrointestinal Stromal Tumor ◽  
Meckel’S Diverticulum ◽  
Ileocecal Valve ◽  
Meckel's Diverticulum ◽  
Stromal Tumor ◽  
Free Air ◽  
Meckel’S Diverticulitis ◽  
Colon And Rectum ◽  
Enhanced Computed Tomography

Abstract Introduction Gastrointestinal stromal tumor (GIST) is rare neoplasms of the gastrointestinal tract associated with high rates of malignant transformation. GIST has been found largely in the stomach, small bowel, colon and rectum, and esophagus, but about 5% are found in other locations. We herein report a 56-year-old woman with a GIST in perforated Meckel's diverticulum. After encountering this patient, a review of the literature found reports of 18 similar patients. Case presentation A 56-year-old woman diagnosed with galactosialidosis (β-galactosidase-neuraminidase deficiency) presented with vomiting. On contrast-enhanced computed tomography, peritonitis due to perforation of the intestine was diagnosed based on the free air and dilated loop of the small bowel. Laparotomy revealed perforation of Meckel’s diverticulitis located 50 cm from the ileocecal valve. Partial resection of the ileum, including the diverticulum, and end-to-end anastomosis of the small intestine were performed. Regarding the pathological findings, the edge of the diverticulum wall consisted of a solid mass measuring 1.0 cm in size, and the tumor cells were spindle-shaped with 1 mitosis present per 50 high-power fields. The diagnosis was established as GIST of the Meckel's diverticulum. The postoperative period was uneventful. Follow-up at two years revealed no evidence of recurrence. Conclusion GIST in perforated Meckel's diverticulum is very rare. The potential for the coexistence of GIST or other tumor should be considered in the treatment of perforated Meckel's diverticulum.

scholarly journals Diagnosis and treatment of complicated Meckel’s diverticulum.

2018 ◽  
Vol 95 (11) ◽  
pp. 1013-1017 ◽  
Author(s):  
V. M. Timerbulatov ◽  
M. V. Timerbulatov ◽  
D. I. Mechdiev ◽  
Shamil V. Timerbulatov ◽  
I. S. Bikovski ◽  
...  
Keyword(s):  
Inflammatory Process ◽  
Surgical Intervention ◽  
Ultrasound Examination ◽  
Meckel’S Diverticulum ◽  
Randomized Study ◽  
Meckel's Diverticulum ◽  
Diagnostic Methods ◽  
Diagnosis And Treatment ◽  
Contrast Study ◽  
Males And Females

Meckel’s diverticulum (MD) is relatively rare, although frequent anomaly of the digestive tract, as a rule, in the event of complications or incidentally at laparotomy, laparoscopy, contrast study of the bowel. Aim - to examine the results of diagnosis and treatment of complicated forms of MD. Material and methods. It was a prospective non-randomized study of 77 patients with complicated forms of MD, including 30 adults and 47 children. The ratio of males and females in adult patients were 2,3:1, and 8,4:1 in children. The incidence of complicated forms in adults was 0,61 per 100,000 adult, 6,6 per 100,000 child population. The study was used clinical, laparotomy methods, ultrasound examination, CT, endoscopy, laparoscopy. Results. Diagnostic methods can identify complications (often diverticulitis, intestinal obstruction, peritonitis), and source-cause of complications is established by laparoscopy or laparotomy. Videolaparoscopic operations (diverticulectomy) made of 35%, the option of surgical intervention depended on the size of the diverticulum, the severity of degradation and prevalence of the inflammatory process in the wall ileum. Postoperative complications were 6,49% of patients, there were no cases mortality.

Meckel's diverticulum in ectopic location: A rare presentation

2017 ◽  
Vol 5 (2) ◽  
pp. 82
Author(s):  
Sumitoj Singh ◽  
Supaksh Mahindru ◽  
MandeepSingh Sandhu ◽  
Ashok Kumar
Keyword(s):  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Rare Presentation

scholarly journals Aneurysmal Rupture of a Mesodiverticular Band to a Meckel’s Diverticulum

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Christian Sommerhalder ◽  
Kenneth R. Fretwell ◽  
Gregory G. Salzler ◽  
John M. Creasy ◽  
R. Jonathan Robitsek ◽  
...  
Keyword(s):  
Blood Loss ◽  
Congenital Abnormality ◽  
Surgical Intervention ◽  
Meckel’S Diverticulum ◽  
Traumatic Injury ◽  
Meckel's Diverticulum ◽  
Aneurysmal Rupture ◽  
Massive Blood Loss ◽  
Clinical Literature ◽  
History Of

Aneurysmal rupture of a mesodiverticular band has not previously been reported in the clinical literature. We are reporting a case of hemoperitoneum in a 51-year-old male after an aneurysmal rupture of a mesodiverticular band. This case demonstrates that in rare instances, a rupture of the mesodiverticular band leading to Meckel’s diverticulum can lead to significant hemoperitoneum. This is usually caused by a traumatic injury but in our case was apparently caused by an aneurysm of the mesodiverticular artery. Patients with known Meckel’s diverticula should be aware of the possibility of rupture, as should clinicians treating those with a history of this usually benign congenital abnormality. Rapid surgical intervention is necessary to repair the source of bleeding, as massive blood loss was encountered in this case.

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