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.

scholarly journals Acute abdomen in children due to different presentations of complicated Meckel’s diverticulum: a case series

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Hisham A. Almetaher ◽  
Mohammed Awad Mansour
Keyword(s):  
Congenital Abnormality ◽  
Wedge Resection ◽  
Meckel’S Diverticulum ◽  
Case Series ◽  
Postoperative Outcome ◽  
Meckel's Diverticulum ◽  
Gastrointestinal Disorders ◽  
Clinical Presentations ◽  
Life Threatening ◽  
Small Base

Abstract Background Meckel’s diverticulum (MD) is the commonest congenital abnormality of the gastrointestinal tract that occurs in 2% of general population. It remains asymptomatic, but it may lead to life-threatening complications. These complications may be misdiagnosed with other gastrointestinal disorders like acute appendicitis, making its diagnosis challenging among pediatricians and pediatric surgeons. In this study, we reported five cases with different presentations of complicated MD in children. Results Five patients with different presentations of MD were reported during the period from January 2016 to January 2020. Patients’ demographics, clinical presentations, investigations, operative data, and postoperative outcome were recorded and analyzed. Conclusions The present study highlights different presentations of MD. Surgical interference is the main key of treatment of symptomatic MD either by wedge resection of a small base diverticulum or by resection anastomosis of the small intestine in wide base and inflamed diverticulum.

An Impacted Malformed Primary Maxillary Central Incisor Diagnosed as a Compound Odontoma.

2008 ◽  
Vol 33 (2) ◽  
pp. 161-166 ◽  
Author(s):  
Dror Aizenbud ◽  
Yael Pery Front
Keyword(s):  
Normal Development ◽  
Surgical Intervention ◽  
Traumatic Injury ◽  
Permanent Tooth ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
History Of ◽  
The Right ◽  
Compound Odontoma ◽  
Early Surgical Intervention

An odontoma is usually found in the surrounding area of the unerupted permanent tooth bud and rarely adjacent to the primary central incisor. This report presents a case of an unerupted malformed primary central incisor, histologically diagnosed as a compound odontoma. A 5.5 year-old healthy boy presented with an unerupted maxillary left primary central incisor and mild gingival buccal swelling. No history of traumatic injury was recorded. Radiological examination revealed a tooth-like mass with a partially developed root and a malformed crown in the area of the left primary central incisor. Delayed development of the successor left permanent incisor in comparison to the right one was noted. The rational for early surgical intervention to enable normal development and eruption of permanent incisors is described. Clinical and radiographic diagnoses as well as several etiological factors and a differential diagnosis are considered and reviewed.

scholarly journals A Rare Case of Acquired Transthoracic Littre's Hernia

2019 ◽  
Vol 05 (04) ◽  
pp. e150-e153
Author(s):  
Arthur Curmi ◽  
Anthony P. Dimech ◽  
Rebecca Dalli ◽  
Ayman Mostafa ◽  
Joseph Debono
Keyword(s):  
Motor Vehicle ◽  
Meckel’S Diverticulum ◽  
Lower Abdominal Pain ◽  
Rib Fractures ◽  
Meckel's Diverticulum ◽  
First Case ◽  
History Of ◽  
Littre’S Hernia ◽  
The Right ◽  
Littre Hernia

Abstract Introduction The Littre hernia is a rare complication of Meckel's diverticulum. Meckel's diverticulum is vestigial remnant of the omphalomesenteric duct occurring in approximately 2% of the general population with an estimated 4 to 16% risk of complications. Usual sites of the Littre hernia include inguinal (50%), umbilical (20%), and femoral (20%). We report a case of an acquired transthoracic Littre's hernia occurring through the left part of the diaphragm triggered by a history of traumatic rib fractures associated with alcohol abuse. Case Report A 71-year-old man presented with 4-day history of worsening shortness of breath, colicky lower abdominal pain, and inability to open bowels despite passing flatus, without nausea or vomiting. His past medical history was remarkable for multiple traumatic rib fractures caused by falls which were associated with excessive alcohol consumption. A noncontrast computed tomography (CT) scan of the abdomen and pelvis showed distended jejunal loops containing air/fluid levels likely resulting from herniated jejunum between the left chest wall and left diaphragm. An urgent laparotomy was performed which revealed small bowel and omentum herniating through a small defect in the left posterior hemidiaphragm. The contents of the sac were reduced and a Meckel's diverticulum was found inside the sac, characteristic of Littre's hernia. The diaphragmatic defect was closed and the Meckel diverticulum stapled and excised. Discussion Herniation of Meckel's diverticulum through the diaphragm most commonly occurs in the pediatric population. Acquired transthoracic Littre's hernia is rare and may arise following thoracobdominal trauma caused by surgery, motor vehicle accidents, and falls from height. Left-diaphragmatic tears are characteristically more clinically apparent and symptomatic than the right since the liver often has a protective effect on the right part of the diaphragm. Herniation of abdominal contents in the chest cavity causes respiratory distress and requires urgent surgical correction. Diagnosis is often delayed since diaphragmatic hernia tends to present very late after the initial trauma, subjecting the patient to possible life-threatening complications. While it is easier to reduce the herniated contents and repair the diaphragm via a thoracic approach, laparotomy is often preferred in cases of acute trauma associated with intra-abdominal injuries. Repair of Littre's hernia then consists of resection of the diverticulum and herniorraphy. Conclusion Internal Littre's hernia is usually of congenital origin. This is the first case of a transthoracic Littre's hernia caused by traumatic rib fractures. Hence, it is of utter importance that a clinician is aware of such uncommon pathology.

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 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.

Subacute Meckel’s diverticulum perforation

2021 ◽  
Vol 14 (3) ◽  
pp. e237840
Author(s):  
Alberto Robles Méndez Hernández ◽  
Oscar Alejandro Mora-Torres ◽  
Hugolino Andrade Lopez ◽  
Jorge Alfonso Perez Castro Y Vazquez
Keyword(s):  
Abdominal Pain ◽  
Adult Population ◽  
Meckel’S Diverticulum ◽  
Ileocecal Valve ◽  
The Elderly ◽  
Meckel's Diverticulum ◽  
Intestinal Bleeding ◽  
History Of ◽  
Mechanical Anastomosis

Meckel’s diverticulum is the most common intestinal congenital defect, its prevalence is 0.2%–4.0% and it occurs more commonly in children younger than 2-year old with intestinal bleeding and abdominal pain. Perforation in the elderly is very rare with no more than 35 articles reported worldwide. Here we report the case of a 62-year-old man who was admitted to hospital with a history of acute abdominal pain with a 20-day onset. The patient was treated with laparotomy and 30 cm ileal resection was performed for an 8×5 cm perforated ileum tumour at 50 from ileocecal valve with a side-to-side mechanical anastomosis for reconstruction. Having morbidity Clavien-Dindo scale I in postsurgical and good outcome in 6-month follow-up. Meckel’s diverticulum is an infrequent pathology in paediatric and even rarer in adult population, however, it is always important to keep in mind how to act when is seen either as a finding or as a complication.

scholarly journals Is an Incidental Meckel’s Diverticulum Truly Benign?

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Caroline C. Jadlowiec ◽  
Jennifer Bayron ◽  
William T. Marshall
Keyword(s):  
Elderly Patient ◽  
Gastrointestinal Tract ◽  
Carcinoid Tumor ◽  
Surgical Management ◽  
Congenital Abnormality ◽  
Adult Population ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Review Of The Literature ◽  
Rare Finding

Meckel’s diverticulum is the most common congenital abnormality of the gastrointestinal tract and it is found to affect nearly 2 percent of the population. Interestingly, the surgical management of an asymptomatic Meckel’s diverticulum remains widely controversial in the adult population. Review of the literature finds the overall risk of Meckel’s diverticulum becoming symptomatic to be low; however, the risk accompanying its resection also proves to be minimal thus perpetuating the question of its proper management. We report our experience with an elderly patient who required an emergent operative intervention and was incidentally found to have Meckel’s diverticulum. Review of final pathology found Meckel’s diverticulum to contain a carcinoid tumor. In our review, the presence of a carcinoid tumor within Meckel’s diverticulum is a rare finding, but its incidence may further support the resection of incidentally found asymptomatic Meckel’s diverticulum in patients of all ages.

scholarly journals Chronic Nocturnal Abdominal Pain as the Presentation of Inverted Meckel Diverticulum: A Case Report

Children ◽  
2022 ◽  
Vol 9 (1) ◽  
pp. 69
Author(s):  
Ting-Yu Wang ◽  
Yu-Tsun Su ◽  
Po-Jui Ko ◽  
Yea-Ling Chen ◽  
Hsiang-Hung Shih ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Meckel’S Diverticulum ◽  
Clinical Manifestations ◽  
Exploratory Laparotomy ◽  
Meckel's Diverticulum ◽  
Distended Abdomen ◽  
History Of ◽  
The Common ◽  
Hospital Visits ◽  
Inverted Meckel’S Diverticulum

The common clinical manifestations of Meckel’s diverticulum include painless lower gastrointestinal bleeding and intestinal obstruction due to intussusception. Intussusception induced by inverted Meckel’s diverticulum has rarely been reported; furthermore, there is no report thus far of chronic nocturnal abdominal pain as a presenting symptom in children with Meckel’s diverticulum. A 4-year-and-10-month-old girl with no significant history of previous illness presented with the sole complaint of chronic nocturnal abdominal pain for 3 months. The patient was reported to be asymptomatic during the day. A provisional diagnosis of chronic ileoileal intussusception was already under consideration in her previous hospital visits elsewhere. Physical examination revealed a soft, non-distended abdomen without tenderness. Imaging studies revealed ileoileal intussusception. Exploratory laparotomy showed ileoileal intussusception induced by an inverted Meckel’s diverticulum with ulceration. The patient underwent successful surgery and made a full recovery. We report this case to remind physicians that Meckel’s diverticulum should be considered in differential diagnosis of children presenting with the isolated symptom of chronic nocturnal abdominal pain.

Meckel’s diverticulum: an unusual finding during inguinal hernioplasty

Nowa Medycyna ◽  
2018 ◽  
Vol 25 (2) ◽  
Author(s):  
Sławomir Glinkowski ◽  
Daria Marcinkowska
Keyword(s):  
Inguinal Hernia ◽  
Gastrointestinal Tract ◽  
Histopathological Examination ◽  
Wedge Resection ◽  
Meckel’S Diverticulum ◽  
Healing Process ◽  
Rare Condition ◽  
Meckel's Diverticulum ◽  
Patient Reported ◽  
History Of

Meckel’s diverticulum is the most common congenital malalignment of the gastrointestinal tract, present in 2-4% of population. It occurs as an embryologic remnant of the vitelline duct. It may have different histological texture. Usually it is diagnosed only during autopsy or intraoperatively. Symptoms such as haemorrhage, inflammation or perforation are possible but very rare. The authors present a case of a patient who received scheduled surgical treatment due to right inguinal hernia. Meckel’s diverticulum was intraoperatively identified in the hernial sac. It was resected and sent for histopathological examination. Before the operation, the patient reported no history of diverticulum and no symptoms. A wedge resection and hernioplasty by Lichtenstein’s method were performed. Hernioplasty with mesh implantation and gastrointestinal tract discontinuity may be associated with a greater risk of infection; therefore prophylactic pre- and post-operative antibiotic therapy was administered. The surgery and the hospitalisation period were uneventful. No symptoms of wound infection were observed, and the healing process was proper. Histopathology findings confirmed the diagnosis of Meckel’s diverticulum. The herniation of a Meckel’s diverticulum – the so-called Littre hernia, is a very rare condition. On average, one case is described every year. In 50% of cases, it is localised in right inguinal hernia, as in the described case. Standard treatment involves diverticulum resection and, depending on the local condition, resection of the adjacent fragment of intestine in some cases.

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