Meckel’s Diverticulum, A Unique Presentation in the Neonate

2021 ◽  
pp. 097321792110549
Author(s):  
Joseph J. Thomas ◽  
Matthew J. Thomas ◽  
Frieda Hulka ◽  
Bruce Sindel
Keyword(s):  
Congenital Malformation ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Intestinal Bleeding ◽  
Age Group ◽  
Provisional Diagnosis ◽  
Diagnostic Challenge ◽  
Live Births ◽  
Atypical Symptoms ◽  
Distended Abdomen

Meckel’s diverticulum (MD) is the most prevalent gastrointestinal congenital malformation, occurring in 2% to 4% of all live births. Typical symptoms of MD include intestinal bleeding and bowel obstruction, but MD can also present with many atypical symptoms of varying severity, posing a diagnostic challenge with severe complications if left untreated. Neonates presenting with symptomatic MD are uncommon. In this report, we describe a neonatal case of MD in which the patient presented with atypical symptoms including distended abdomen and constipation mimick necrotizing enterocolitis. This case emphasizes the importance of clinically correlating a provisional diagnosis while maintaining a broad differential, including uncommon conditions in this age group such as MD.

scholarly journals Meckel’s Diverticulitis. A rare cause of small bowel obstruction

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Andreas Skarpas ◽  
Petros Siaperas ◽  
Athanasios Zoikas ◽  
Emmanouela Griva ◽  
Ioannis Kyriazis ◽  
...  
Keyword(s):  
Bowel Obstruction ◽  
Meckel’S Diverticulum ◽  
Exploratory Laparotomy ◽  
Intestinal Wall ◽  
Complicated Diverticulitis ◽  
Meckel's Diverticulum ◽  
Bowel Loop ◽  
Distended Abdomen ◽  
Meckel’S Diverticulitis ◽  
Abdominal Quadrant

Abstract Meckel’s Diverticulum is a sac-like protrusion of the intestinal wall. It is located at 40–60 cm from the caecum. In the majority of cases, Meckel’s Diverticulum is clinically silent, while complications are found in 4% of the population. Complicated diverticulitis is associated with the formation of abscess, fistula, bowel obstruction or frank perforation. We present a case of a 63-year-old woman with a distended abdomen, pain in the lower right abdominal quadrant, fever 37°C and where emergency exploratory laparotomy revealed that obstruction was caused by a bowel loop trapped by a mesenterium-diverticular band.

scholarly journals Intussusception Secondary to Isolated Heterotopic Pancreas of Meckel’s Diverticulum

2011 ◽  
Vol 24 (1) ◽  
pp. 16-20
Author(s):  
A Nowshad ◽  
SMA Shahid ◽  
SS Islam ◽  
A Mostaque
Keyword(s):  
Case Report ◽  
Meckel’S Diverticulum ◽  
Heterotopic Pancreas ◽  
Meckel's Diverticulum ◽  
Age Group ◽  
Pediatric Age ◽  
Pathological Lesion ◽  
Pediatric Age Group ◽  
Number Of Patients ◽  
The Subject

Intussusception in the pediatric age group is usually idiopathic in origin, and in a small number of patients ranging from 2% to 12%, a pathological lesion as a leading point is identifiable. Of the variety of pathologcial lesions identified as leading points for intussusception, Meckel’s diverticulum is the most common but very rarely, isolated heterotopic pancreas is found within it.This is a case report of intussusception in an infant caused by an isolated heterotopic pancreas of the Meckel’s diverticulum. The literature on the subject is also reviewed. TAJ 2011; 24(1): 16-20

scholarly journals Catastrophic Gastrointestinal Bleeding: Always Consider Meckel’s Diverticulum

2019 ◽  
Author(s):  
Filipa Pedro ◽  
Joana Romano ◽  
Marta Rebelo ◽  
Rogério Matias ◽  
Eduarda Carmo
Keyword(s):  
Gastrointestinal Tract ◽  
Gastrointestinal Bleeding ◽  
Congenital Malformation ◽  
Older Patients ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Patient Age ◽  
Patient Âgé

Meckel’s diverticulum, a congenital malformation of the gastrointestinal tract, is asymptomatic in the majority of patients but can be associated with some complications. Gastrointestinal bleeding is one such complication and is more common in children than in adults. Despite the variety of examinations available, diagnosis can be difficult, especially in older patients, because the sensitivity of examinations decreases with patient age. Here we present the case of a young man with gastrointestinal bleeding in whom a diagnosis of Meckel’s diverticulum was made intra-operatively.

scholarly journals Meckel's diverticulum and the introduction of the intestines ''

2021 ◽  
Vol 43 (6) ◽  
pp. 57-58
Author(s):  
X. I. Feldman
Keyword(s):  
Celiac Disease ◽  
Intestinal Obstruction ◽  
Meckel’S Diverticulum ◽  
Abdominal Cavity ◽  
Meckel's Diverticulum ◽  
Intestinal Bleeding ◽  
Meckel Diverticulum

Meckel's diverticulum, according to various statistics, is found in cases of celiac disease in approximately 0.1-1.0% of patients. PN Yurovskaya observed 14 cases of Meckel diverticulum among 1126 patients who underwent laparotomy. During gluttony, the specified diverticulum comes across not only as an accidental find, but often turns out to be the cause of catastrophes in the abdominal cavity: intestinal obstruction, peritonitis, intestinal bleeding, etc. T. Bachinskaya and others).

scholarly journals Clinical Practice Recurrent Severe Obscure Gastro Intestinal- Bleeding in a 20 Year Old Man

2014 ◽  
Vol 11 (1) ◽  
pp. 81-85
Author(s):  
M Breidert ◽  
A Mandal ◽  
A Koller ◽  
N Huellebrand ◽  
B Malla
Keyword(s):  
Gastrointestinal Bleeding ◽  
Meckel’S Diverticulum ◽  
Exploratory Laparotomy ◽  
Meckel's Diverticulum ◽  
Intestinal Bleeding ◽  
Gi Bleeding ◽  
Double Balloon Enteroscopy ◽  
Morbus Osler ◽  
Massive Gastrointestinal Bleeding ◽  
Time Of Admission

Morbus Osler-Weber-Rendu syndrome also known as Hereditary hemorrhagic telangiectasia (HHT) and Meckel’s diverticulum is a rare combination disorder. Our case presented with the recurrent obscure gastrointestinal (GI) bleeding for several years. He came with a massive active lower gastrointestinal bleeding. Ultimatively, he underwent an exploratory laparotomy along with intraoperative colonoscopy. A Meckel’s diverticulum in combination with multiple erosions was found as a probable cause of the massive gastrointestinal bleeding. An ileo-caeacal resection had been performed and by the pathologist multiple telangiectasias in the resected ileum were established. Blood was sent for genetics and was negative for ENG, ALK-1, and SMAD-4 genes. The patient was discharged after 10 days from time of admission and is under regular follow up without any further bleeding. In this case, despite sophisticated techniques for investigations the cause of the GI-bleeding with several esophagogastroduodenoscopies and colonoscopies, mesenteric angiography and finally an oral double balloon enteroscopy was misdiagnosed till the intra operative endoscopy showed a middle GI-bleeding. The management for obscure GI-bleeding is discussed for countries with lower medical facilities like Nepal in our case with Morbus Osler-Weber-Rendu syndrome. DOI: http://dx.doi.org/10.3126/kumj.v11i1.11034 Kathmandu University Medical Journal Vol.11(1) 2013: 81-85

scholarly journals Perforated Meckel’s Diverticulum Lithiasis: An Unusual Cause of Peritonitis

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Umasankar Mathuram Thiyagarajan ◽  
Amirthavarshini Ponnuswamy ◽  
Atul Bagul ◽  
Prabakar Ponnuswamy
Keyword(s):  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Acute Abdomen ◽  
Congenital Malformation ◽  
Healthy Individual ◽  
Stone Formation ◽  
Meckel’S Diverticulum ◽  
Exploratory Laparotomy ◽  
Meckel's Diverticulum

Meckel’s diverticulum is the commonest congenital malformation of gastrointestinal tract and represents a persistent remnant of the omphalomesenteric duct. Although it mostly remains silent, it can present as bleeding, perforation, intestinal obstruction, intussusception, and tumours. These complications, especially bleeding, tend to be more common in the paediatric group and intestinal obstruction in adults. Stone formation (lithiasis) in Meckel’s diverticulum is rare. We report a case of Meckel’s diverticulum lithiasis which presented as an acute abdomen in an otherwise healthy individual. The patient underwent an exploratory laparotomy which revealed a perforated Meckel’s diverticulum with lithiasis; a segmental resection with end-to-end anastomosis of small bowel was performed. Patient recovery was delayed due to pneumonia, discharged on day 20 with no further complications at 6 months following surgery.

scholarly journals Meckel’s Diverticulum in Paediatric Age Group: A Spectrum of Clinical Presentations and its Management

2020 ◽  
Vol 6 (11) ◽  
pp. 364-367
Author(s):  
  Dr. Rajshekhar Patil ◽  
Dr. Sharan Gubbi ◽  
Dr. Karthik Dhaded ◽  
Dr. Sanjay K
Keyword(s):  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Age Group ◽  
Clinical Presentations ◽  
Paediatric Age ◽  
Group A
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