scholarly journals Double simultaneous intussusception caused by Meckel’s diverticulum and intestinal duplication in a child

2018 ◽  
Vol 46 (8) ◽  
pp. 3427-3434 ◽  
Author(s):  
Mingming Yu ◽  
Zhihong Fang ◽  
Jun Shen ◽  
Xiaomin Zhu ◽  
Dafeng Wang ◽  
...  

Intussusception is common in children. Double simultaneous intussusception is a peculiar variety of intussusception with only 14 previously reported cases. We report a unique case of a child who suffered from double simultaneous intussusception with two lead points (Meckel’s diverticulum and intestinal duplication). The patient was successfully treated with manual reduction along with resection of Meckel’s diverticulum and intestinal duplication. The child recovered well.

1998 ◽  
Vol 23 (10) ◽  
pp. 708-709 ◽  
Author(s):  
ABDEL MONEIM OMAR ◽  
TAHANI AHMED AL-SAEE'D ◽  
ABDELHAMID ELGAZZAR

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Constantinos Nastos ◽  
Dimitrios Giannoulopoulos ◽  
Ioannis Georgopoulos ◽  
Christos Salakos ◽  
Dionysios Dellaportas ◽  
...  

We present a unique case of a 16-year-old male patient who was eventually diagnosed with a large enterolith arising from a Meckel’s diverticulum. The enterolith had caused intermittent intestinal symptoms for three years before resulting in small bowel obstruction requiring surgical intervention. Meckel’s enterolith ileus is very rare with only few cases described in the literature. To our knowledge, this is only the second case of Meckel’s enterolith which had caused intermittent symptoms over a period of time, before resulting in ileus, and the first case where the intermittent symptoms lasted several years before bowel obstruction. The patient had been evaluated with colonoscopy, computerized tomography (CT), and magnetic resonance imaging enterography (MRIE); a calcified pelvic mass had been found, but no further diagnosis other than calcification was established. The patient presented at our emergency department, with symptoms of obstructive ileus and underwent exploratory laparotomy, where a large enterolith arising from a Meckel’s diverticulum (MD) was identified, causing the obstruction. A successful partial enterectomy, enterolith removal, and primary end-to-end anastomosis took place; the patient was permanently relieved from his long-standing symptoms. Consequently, complications of Meckel’s diverticulum and enterolithiasis have to be included in the differential diagnosis of abdominal complaints.


2020 ◽  
Vol 61 (2) ◽  
pp. 117-123
Author(s):  
Chunlin Zhang ◽  
Chaoxue Zhang

The objective of the work was to analyze the diagnostic accuracy of transabdominal ultrasound in diseases causing hematochezia. The present retrospective study included 427 pediatric patients with hematochezia or hematochezia accompanied by abdominal pain, who came to our hospital from October 2014 to September 2018. Transabdominal ultrasound was performed in all patients. Demographic data such as age, gender and clinical variables including symptoms and the hematochezia aspect were recorded. The diagnostic accuracy was analyzed. Among all patients, the hematochezia types were dark red bloody stools 163 (38.2%), black stools 102 (23.9%), jam-like bloody stools74 (17.3%), scarlet blood 55 (12.9%) and fecal occult blood 33 (7.7%). There were 153 (35.8%) patients with intussusception, 116 (27.2%) patients with Meckel’s diverticulum, 95 (22.2%) patients with intestinal duplication, and 63 (14.8%) patients with intestinal polyps. Transabdominal ultrasound showed there were 150 patients with intussusception, with an accuracy of 98.0%; 103 patients with Meckel’s diverticulum, with an accuracy of 88.8%; 84 patients with intestinal duplication, with an accuracy of 88.4%; and 54 patients with intestinal polyps, with an accuracy of 85.7%. The diagnostic sensitivity was significantly higher for intussusception than for other diseases. It is concluded that transabdominal ultrasound had a high accuracy in the diagnosis of hematochezia-related diseases, including intussusception, Meckel’s diverticulum, intestinal polyps and intestinal duplication.


Chirurgia ◽  
2021 ◽  
Vol 33 (6) ◽  
Author(s):  
Andrea LOCATELLI ◽  
Maria G. DELL’ORO ◽  
Pierluigi PEDERSINI ◽  
Francesco MORANDI ◽  
Marco G. CONFALONIERI

2016 ◽  
Vol 26 ◽  
pp. 50-52 ◽  
Author(s):  
Astrit R. Hamza ◽  
Besnik X. Bicaj ◽  
Fisnik I. Kurshumliu ◽  
Valon A. Zejnullahu ◽  
Fatos E. Sada ◽  
...  

Author(s):  
B. A. Clark ◽  
T. Okagaki

Vestiges of the omphalomesenteric or vitello-intestinal duct and the pathologic implications attributed to these remnants have been treated in great detail by several investigators. Persistence of the omphalomesenteric duct is associated with such conditions as Meckel's diverticulum, umbilical fistula, mucosal polyps, and sinuses or cysts of the umbilicus. Remnants of the duct in the umbilical cord, although infrequent, are located outside of the triangle formed by the two umbilical arteries and the umbilical vein, are usually discontinuous and are often represented by a small lumen lined by cuboidal or columnar epithelium. This study will examine the ultrastructure of these cells.


1951 ◽  
Vol 18 (2) ◽  
pp. 287-289 ◽  
Author(s):  
Alfredo R. Basile ◽  
Marcos Elfersy

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