scholarly journals Intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing gastric cystica profunda component cells within the inverted Meckel’s diverticulum: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Natsuko Yamauchi ◽  
Takashi Ito ◽  
Hiroki Matsuoka ◽  
Teruhiro Chohno ◽  
Hiroshi Hasegawa ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Small Intestine ◽  
Gastric Mucosa ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Ectopic Gastric Mucosa ◽  
Crypt Epithelium ◽  
Small Intestinal ◽  
Inverted Meckel’S Diverticulum

Abstract Background Lipomas are the most common cause of intussusception in adults. To our knowledge, however, no cases of lipoma and ectopic gastric mucosa with gastritis cystica profunda (GCP) have been reported. We report a case of intussusception caused by a small intestinal lipoma with ectopic gastric mucosa containing GCP-component cells within the inverted Meckel’s diverticulum. Case presentation A female in her 40s underwent computed tomography for postoperative follow-up of left breast cancer. A tumor, suspected to be a lipoma, was found in the ileum. Since there were no symptoms, the patient underwent regular follow-up. However, gradual enlargement was observed, and surgery was recommended due to the risk of intussusception. After reduction via the Hutchinson technique, laparoscopically assisted partial resection of the small intestine was performed due to suspicion that the tumor was causing intussusception starting from the ileum. Histopathologic examinations revealed proliferation of mature adipose tissue in the subserosal layer, which was diagnosed as lipoma. Furthermore, adipose tissue was found in the stem area and accordingly, we diagnosed lipoma associated with the inverted Meckel’s diverticulum. Moreover, gastric mucosa-like crypt epithelium and proper glandular tissue were identified in the mucosal membrane at the area of onset, and signs of gastric pit dilatation over the submucosa and crypt epithelium hyperplasia were observed. Diagnosis was ectopic gastric mucosa containing GCP component tissue. Conclusions Intussusception in the small intestine complicated with lipoma and ectopic gastric mucosa with GCP within the Meckel’s diverticulum has not been reported, demonstrating the rarity of our case.

scholarly journals A Case Report of Adenocarcinoma in a Meckel's Diverticulum Arising from Ectopic Gastric Mucosa

2015 ◽  
Vol 76 (9) ◽  
pp. 2231-2236 ◽  
Author(s):  
Yuichiro OKUMURA ◽  
Susumu MIYAZAKI ◽  
Kazumasa FUJITANI ◽  
Hiroaki FUSHIMI ◽  
Katsuki DANNO ◽  
...  
Keyword(s):  
Case Report ◽  
Gastric Mucosa ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Ectopic Gastric Mucosa

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 Littre Hernia: A Rare Case of an Incarcerated Meckel’s Diverticulum

2017 ◽  
Vol 03 (02) ◽  
pp. E91-E92 ◽  
Author(s):  
Brian Malling ◽  
Andreas Karlsen ◽  
Jesper Hern
Keyword(s):  
Congenital Anomaly ◽  
Small Intestine ◽  
Rare Case ◽  
Meckel’S Diverticulum ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Ectopic Gastric Mucosa ◽  
Common Complication ◽  
Vitelline Duct ◽  
Littre Hernia

A Meckel’s diverticulum is a remnant of the vitelline duct, which leads to the formation of a true diverticulum containing all layers of the small intestine. The diverticulum can contain ectopic gastric, duodenal or pancreatic tissue and is the most common congenital anomaly of the gastrointestinal tract with estimates of prevalence ranging from 0.3% to 3%. The condition is usually clinically silent. In children the most common complication is gastrointestinal bleeding caused by ulceration due to the acid secretion by ectopic gastric mucosa.

scholarly journals Specific characteristics of hemorrhagic Meckel’s diverticulum at double-balloon endoscopy

2017 ◽  
Vol 05 (01) ◽  
pp. E35-E40
Author(s):  
Yasuyuki Mizutani ◽  
Masanao Nakamura ◽  
Osamu Watanabe ◽  
Takeshi Yamamura ◽  
Kohei Funasaka ◽  
...  
Keyword(s):  
Gastric Mucosa ◽  
Gastrointestinal Bleeding ◽  
Medical Records ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Ectopic Gastric Mucosa ◽  
Diagnostic Ability ◽  
Double Balloon Endoscopy ◽  
Double Balloon

Abstract Background and study aims Diagnosis of Meckel’s diverticulum (MD) before surgery may be challenging; double-balloon endoscopy (DBE) facilitates identification of MD in the setting of a gastrointestinal bleeding; however, MD can be found incidentally without this condition. The purpose of this research was to determine specific characteristic of hemorrhagic MD and incidental MD at DBE. Patients and methods Ectopic gastric mucosa enclosed in the MD and/or ulceration were defined as “major findings”; ring-like scar surrounding the MD was defined as “minor finding”. We retrospectively reviewed the medical records of patients affected by MD and analyzed the findings that significantly affected the characterization of MD. Results MD was diagnosed in 33 patients. The axis of the diverticulum was longer in hemorrhagic MD compared to incidental MD (P = 0.031). The amount of transfusion was significantly higher (P = 0.018) in the hemorrhagic MD group. Hemorrhagic MD was significantly more correlated with major findings (P = 0.01) and minor findings (P < 0.01). The specificity of major finding was 100 % while the sensitivity of major and/or minor findings was 96 %. Conclusions The combination of major and minor findings appears to improve the diagnostic ability of hemorrhagic MD avoiding unnecessary diverticulectomy.

Technetium Pertechnetate Scintigraphy to Detect Ectopic Gastric Mucosa in Meckel's Diverticulum

1984 ◽  
Vol 25 (5) ◽  
pp. 417-422 ◽  
Author(s):  
M. Fries ◽  
W. Mortensson ◽  
B. Robertson
Keyword(s):  
Gastric Mucosa ◽  
Diagnostic Accuracy ◽  
Rectal Bleeding ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Infants And Children ◽  
Histologic Examination ◽  
Ectopic Gastric Mucosa ◽  
Consistent Finding ◽  
Predominant Symptom

Tc-pertechnetate scintigraphy was performed in 81 infants and children, clinically suspected to have Meckel's diverticulum with ectopic gastric mucosa. The predominant symptom was rectal bleeding and anemia. Twenty-two patients underwent laparotomy and 12 had Meckel's diverticulum with ectopic gastric mucosa. In operated patients the sensitivity of scintigraphy in detecting ectopic gastric mucosa was 0.75, the specificity 1.0 and the diagnostic accuracy 0.86; the diagnostic accuracy was estimated to 0.96 for the whole material. Histologic examination of the diverticula showed a smaller area of the ectopic mucosa in cases with negative scintigraphic findings. In addition, prominent fibrosis seemed to be a more consistent finding in cases with negative as opposed to those with positive scintigraphic findings. Presence of anemia may provide a guideline as to whether or not scintigraphy is indicated.

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