scholarly journals Cytochemical and immunocytochemical characteristics of Meckel's diverticulum with heterotopic rests of pancreatic tissue

2010 ◽  
Vol 67 (12) ◽  
pp. 1021-1024 ◽  
Author(s):  
Snezana Pavlovic ◽  
Dejan Janjic ◽  
Suncica Mihajlovic ◽  
Natalija Stefanovic ◽  
Miljana Pavlovic ◽  
...  

Background. Meckel?s diverticulum (MD) is a congenital anomaly of the small intestine. It results from incomplete obliteration and resorption of the proximal omphaloenteric duct connecting yolk sac with primitive gut in the fetal period. Case report. A case of 20-year old female with ectopic pancreatic rests in a MD was reported. She was hospitalized with clinical signs of acute appendicitis. During surgery an inflamated Meckel?s diverticulum was found and a clinoid resection of the diverticulum was performed. Histologic examination revealed pancreatic tissue in the removed diverticulum. Endocrine cells (EC) were detected with Masson staining and aberrant pancreatic tissue with immunocytochemical LSAB2 method using pan cytokeratin as epithelial marker. Conclusion. Most of MD are asymptomatic and accessory finding during laparothomias for different causes, but complications of undiagnozed MD can be serious (diverticulitis, perforation with peritonitis or intestinal obstruction caused by invagination). In unclear cases, additional cytochemical and immunocytochemical diagnostics could be done.

2011 ◽  
Vol 58 (4) ◽  
pp. 111-112 ◽  
Author(s):  
Milica Berisavac ◽  
Biljana Kastratovic-Kotlica ◽  
V. Tosic ◽  
N. Markovic ◽  
S. Ljustina ◽  
...  

Acute appendicitis in puerperium is often diagnosed too late, because clinical signs can be unrelaible. Abdominal wall rigidity is rarely noticed in puerpeium because of weak abdominal wall muscles, laboratory parameters are not enough relaible and atipycal appendix presentation makes difficulties in diagnosis3,4. Knowing clinical signs and symptoms of appendicitis, possible complications and their early detection, make a chance for a good surgical outcome. Measuring of axillar and rectal temperature can take confusion in, and prolong time until surgical treatment. Leucocytosis in puerperium is not valid for diagnosis. We report a case of patient in puerperium with high laboratory infection parameters. Diagnosis of appendicitis is made based on clinical signs and symptoms, that is proved intraoperatively and histologicaly. Appendectomy without perforation carries less risks for mother and fetus.


2017 ◽  
Vol 03 (02) ◽  
pp. E91-E92 ◽  
Author(s):  
Brian Malling ◽  
Andreas Karlsen ◽  
Jesper Hern

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.


Author(s):  
Suphawat Laohawiriyakamol ◽  
Piyanun Wangkulangkul ◽  
Worrawit Wanitsuwan ◽  
Siripong Cheewatanakornkul ◽  
Teeranan Laohawiriyakamol ◽  
...  

Annular pancreas is a rare congenital anomaly characterized by the presence of a pancreatic tissue of variable amount which completely or partially obstructs the second part of duodenum. It usually affects infancy, but in adulthood it can mimic a wide range of clinical entity. Gastrojejunostomy or duodenojejunostomy are common operations in adults because the duodenum is less mobile. We report a case of annular pancreas in a 60-year-old male that presented with clinical condition of gastric outlet obstruction and was successfully treated with a laparoscopic Roux-en-Y gastrojejunostomy.


2016 ◽  
Vol 10 (1) ◽  
Author(s):  
Alexandra Oeconomopoulou ◽  
Yvelise de Verney ◽  
Katerina Kanavaki ◽  
Kalliopi Stefanaki ◽  
Kitty Pavlakis ◽  
...  

2009 ◽  
Vol 22 (02) ◽  
pp. 163-165
Author(s):  
S. Yudelevitch

SummaryIn this case report, we report on two cases of pelvic fractures with uncommon complications that resulted from adhesions of the small intestine to the fracture callus in dogs. The most likely cause of the clinical signs in the first case was adhesions between a segment of the jejunum and a coccygeal callus which resulted in luminal narrowing. This was further complicated by small obstructing trichobezoars. In case 2, which was admitted with incontinence, adhesions were found between fractured pubic bone callus and both the urinary bladder and a segment of the jejunum.


2021 ◽  
Vol 45 (1) ◽  
Author(s):  
Mahmoud Kamel ◽  
Hani Barsoum ◽  
Suzan Talaat ◽  
Eman Mustafa

Abstract Background Meckel’s diverticulum is the most frequent congenital anomaly of the gastrointestinal tract. It can invert or invaginate into the small intestine lumen. It is usually associated with heterotopic tissue elements. Case presentation We present a case of inverted Meckel's diverticulum, clinically and radiologically diagnosed as intestinal obstruction due to intussusceptions. The diagnosis was suspected due to target sign shown on radiological examination. Pathologically, it was inverted Meckel's diverticulum obstructing the lumen in parallel plan mimicking the telescoping appearance, with heterotopic pancreatic tissue formed of exocrine and ductal components only. Conclusions Inverted Meckel’s diverticulum may present by vague symptoms and may simulate other causes of intestinal obstruction.


2015 ◽  
Vol 4 (3) ◽  
pp. 217-220 ◽  
Author(s):  
Nurcan Unver ◽  
Ganime Coban ◽  
Oyku Izel Onaran ◽  
Enver Kunduz ◽  
Adnan Arslan ◽  
...  

2018 ◽  
Vol 7 (1) ◽  
pp. 1094-1096
Author(s):  
N Ravishankar ◽  
V Thulasi

Meckel’s diverticulum is the rare congenital anomaly in children. When inflamed it can mimic acute appendicitis. The distal end of the Meckel’s diverticulum is usually rounded and narrow. We present a case of partially bifid Meckel’s diverticulum in a young boy who presented with features of recurrent appendicitis. During appendectomy, a bifid Meckle’s diverticulum was found in therein the distal ileum. It was excised with V shaped ileal wall. Histopathology showed features of Meckel’s diverticulum without any Gastric or pancreatic tissue in mucosa. Clinicians should be wary of a bifid meckel’s diverticulum as a very rare anomaly that can be symptomatic mimicking appendicitis.Keywords: Bifid, Meckel’s, Diverticulitis


2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Aziz Sumer ◽  
Ozgur Kemik ◽  
Aydemir Olmez ◽  
A. Cumhur Dulger ◽  
Ismail Hasirci ◽  
...  

Meckel's diverticulum is the most common congenital anomaly of the small intestine. Common complications related to a Meckel's diverticulum include haemorrhage, intestinal obstruction, and inflammation. Small bowel obstruction due to mesodiverticular band of Meckel's diverticulum is a rare complication. Herein, we report the diagnosis and management of a small bowel obstruction occurring due to mesodiverticular band of a Meckel's diverticulum.


2021 ◽  
Vol 8 ◽  
Author(s):  
Neeltje J. Veenema ◽  
Koen M. Santifort ◽  
Nienke W. Kuijpers ◽  
Anne Seijger ◽  
Peter R. Hut

This case report describes the clinical signs, magnetic resonance imaging (MRI) findings and associated (histo)pathological findings in a crossbred Belgian Blue calf with congenital complex brain anomaly. The calf was presented with non-progressive signs (including cerebellar ataxia) since it was born, suggestive of a multifocal intracranial lesion. A congenital anomaly was suspected and after hematology, biochemistry, serology, and cerebrospinal fluid analysis, a magnetic resonance imaging study was performed. The following suspected abnormalities were the principal changes identified: severe hydrocephalus, porencephaly, suspected partial corpus callosum agenesis (CCA), and increased fluid signal between the folia of the cerebellum. Post-mortem examination predominately reflected the MRI findings. The origin for these malformations could not be identified and there was no evidence of a causative infectious agent. Corpus callosum abnormalities have been reported in bovids before and have been linked to bovine viral diarrhea virus (BVDV) infections, as have several other central nervous system anomalies in this species. In this case, BVDV was deemed an unlikely causative agent based on serology test results and lack of typical histopathological signs. The etiology of the congenital anomaly present in this bovine calf remains unknown.


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