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

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).

Download Full-text

Adhesive intestinal obstruction as a complication of Meckel’s diverticulum in children

Paediatric Surgery Ukraine ◽

10.15574/ps.2021.70.107 ◽

2021 ◽

pp. 107-111

Author(s):

S.O. Sokolnyk ◽

◽

O.B. Bodnar ◽

O.F. Marchuk ◽

L.I. Vatamanesku ◽

...

Keyword(s):

Intestinal Obstruction ◽

Clinical Symptoms ◽

Rare Complication ◽

Meckel’S Diverticulum ◽

Abdominal Cavity ◽

Key Words Children ◽

Meckel's Diverticulum ◽

Intestinal Bleeding ◽

Intestinal Tube ◽

Adhesive Intestinal Obstruction

Meckel’s diverticulum (DM) is a formation of the ileum caused by incomplete obliteration of the omphalomesenteric duct in the developing embryo. This is one of the most common anomalies of the digestive tract in children. Most DM develops completely asymptomatically. Clinical symptoms develop in only 16% of cases, and 50–60% of them are children under 10 years, an average of 2.5 years of age. The severity of clinical symptoms in DM is associated with the development of complications: intestinal bleeding, intestinal obstruction (intussusception, strangulation intestinal obstruction), diverticulitis with perforation and peritonitis, etc. The article presents a clinical case of adhesive intestinal obstruction in an 8-year-old, which occurred after DM in the anamnesis. As the adhesive intestinal obstruction is an extremely rare complication of DM in children, the presence of patients with acute surgical pathology of the abdominal cavity requires pediatric surgeons to clearly understand the occurrence of such complications in the perspective of the development of intestinal tube defect – DM and the need for the immediate radical treatment tactics in the event of this problem. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: children, Meckel’s diverticulum, complications, adhesive intestinal obstruction.

Download Full-text

Vólvulo y necrosis de divertículo de Meckel gigante: reporte de un caso. [Title: Volvulus and necrosis of giant Meckel's diverticulum: a case report]

Revista Médica de Panamá - ISSN 2412-642X ◽

10.37980/im.journal.rmdp.2020831 ◽

2020 ◽

Vol 40 (1) ◽

Author(s):

Germán - Brito Sosa ◽

Ana María Iraizoz Barrios

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Acute Appendicitis ◽

Intestinal Obstruction ◽

Terminal Ileum ◽

Meckel’S Diverticulum ◽

Exploratory Laparotomy ◽

Meckel's Diverticulum ◽

Meckel Diverticulum

ResumenEl divertículo de Meckel complicado es poco frecuente en el adulto. Presentamos un paciente de 19 años de edad, con dolor abdominal de 11 horas de evolución, encontrando al realizar la laparotomía exploradora un divertículo de Meckel gigante, necrosado y volvulado. Las presentaciones más frecuentes del divertículo de Meckel son la obstrucción intestinal y la diverticulitis, esta última da una sintomatología similar a la apendicitis aguda,por lo que al realizar la exploración quirúrgica y encontrar el apéndice cecal normal, se debe visualizar los últimos 180 cm de íleo terminal.Abstract Meckel's diverticulum is rare in adults. We present a 19-year-old patient with abdominal pain of 11 hours of evolution, finding a giant Meckel diverticulum, necrotic and volvulated, when performing the exploratory laparotomy. The most frequent presentations of Meckel's diverticulum are intestinal obstruction and diverticulitis, the latter being a symptomatology similar to acute appendicitis, surgical surgery and the normal cecal appendix, the last 180 cm of terminal ileum should be visualized.

Download Full-text

DIAGNOSIS AND TREATMENT OF MECKEL DIVERTICULUM COMPLICATIONS IN CHILDREN

"Medical & pharmaceutical journal "Pulse" ◽

10.26787/nydha-2686-6838-2020-22-12-162-168 ◽

2020 ◽

pp. 162-168

Author(s):

Barskaya M.A. ◽

Varlamov A.V. ◽

Zavyalkin V.A. ◽

Kuzmin A.I. ◽

Terekhina M.I.

Keyword(s):

Intestinal Obstruction ◽

Clinical Laboratory ◽

Abdominal Cavity ◽

Clinical Signs ◽

Intestinal Bleeding ◽

Meckel Diverticulum ◽

Average Hospital ◽

Surgical Interventions ◽

Surgical Department ◽

Results Of Treatment

Meckel diverticulum is a congenital abnormality of the intestinum appearing due to the failure of the vitelline duct closure. Meckel diverticulum may have no clinical signs however in 20-25% its complications may cause different acute surgical conditions demanding surgical interventions. These complications may appear with the symptoms of abdominal pain, intestinal hemorrhage and intestinal obstruction. The aim of the study was to analyze the results of treatment of Meckel diverticulum complications in children. We have analyzed the results of diagnostics and treatment of 69 children aged between 10 months and 13 years. All the children were admitted to the surgical department of Samara Regional Clinical Hospital named after V.D. Seredavin between 2013 and October 2020. The presented complications of Meckel diverticulum were: diverticulitis (37), intestinal bleeding (17), intestinal volvulus (9), intestinal obstruction (3), intussusception (3). Most frequently the complications were present in infants and preschool children. All the patients underwent clinical, laboratory, ultrasound, X-Ray (when necessary) and intraluminal endoscopic (when necessary) examinations. However, in most cases complications were diagnosed during laparoscopy. All the children underwent surgical treatment. Most of the surgeries were laparoscopic (54, 35 of them were video assisted mini laparotomies). Two patients presented postoperative complications: anastomotic leaks; both of the children required repeated surgeries. The reasons of complications were underestimation of the paients’ conditions at the moment of surgical interventions and significance of the inflammatory process in the abdominal cavity. We employed ileostomies to those children which we closed 3 weeks after that when the general conditions were appropriate. We had no lethal cases. The average hospital stay was 11,6 days.

Download Full-text

THREE CASES OF ACUTE INTESTINAL OBSTRUCTION TREATED BY ABDOMINAL SECTION.1. Intussusseption—2. Volvulus of Sigmoid—3. Strangulation by Meckel's Diverticulum.

JAMA ◽

10.1001/jama.1893.02420570016001d ◽

1893 ◽

Vol XXI (5) ◽

pp. 156

Author(s):

A. J. OCHSNER

Keyword(s):

Intestinal Obstruction ◽

Meckel’S Diverticulum ◽

Acute Intestinal Obstruction ◽

Meckel's Diverticulum ◽

Abdominal Section

Download Full-text

THE UMBILICAL POLYP, A REMNANT OF THE OMPHALOMESENTERIC DUCT

PEDIATRICS ◽

10.1542/peds.20.1.98 ◽

1957 ◽

Vol 20 (1) ◽

pp. 98-100

Author(s):

Stanley E. Crawford

Keyword(s):

Young Children ◽

Intestinal Obstruction ◽

Neonatal Period ◽

Meckel’S Diverticulum ◽

Meckel's Diverticulum ◽

Recent Case ◽

Early Age ◽

Review Of The Literature ◽

Omphalomesenteric Duct ◽

Umbilical Polyp

THE PURPOSE of this paper is to report a recent case of an umbilical polyp and intestinal obstruction during the neonatal period. Umbilical polyps are rare. When present, they may be associated with Meckel's diverticulum because both are remnants of the omphalomesenteric duct. The presence of the visible polyp may give an external clue to otherwise obscure intraabdominal symptoms. A review of the literature earlier than 1916 is well summarized in a book by Thomas Cullen. This unusual volume lists six cases of umbilical polyp accompanied by other pathologic complications of Meckel's diverticulum. This author stressed that in these cases it should be pointed out to either the patient or his parents that possible intra-abdominal duct remnants may, at any time, give rise to symptoms such as intestinal obstruction. Penberthy and Benson reported a 9-year-old male with an umbilical polyp which had been present since birth and was without discharge. This youngster died following operation for intestinal obstruction due to volvulus about the diverticulum and its fibrous connection with the umbilical polyp. These authors pleaded for early elective operations in these cases prior to such complications. Gross gave other reasons for observation, and exploration at a reasonably early age, if a Meckel's diverticulum is suspected. Peritonitis from a ruptured Meckel's diverticulum is peculiarly dangerous; in young children the protecting omentum is inadequate and the migrating nature of the anomaly adds to the danger. Fluid from perforation of a diverticulum is usually of greater volume than that found in appendiceal rupture and abscess.

Download Full-text