Meckel’s diverticulum: an unusual finding during inguinal hernioplasty

Nowa Medycyna ◽  
2018 ◽  
Vol 25 (2) ◽  
Author(s):  
Sławomir Glinkowski ◽  
Daria Marcinkowska
Keyword(s):  
Inguinal Hernia ◽  
Gastrointestinal Tract ◽  
Histopathological Examination ◽  
Wedge Resection ◽  
Meckel’S Diverticulum ◽  
Healing Process ◽  
Rare Condition ◽  
Meckel's Diverticulum ◽  
Patient Reported ◽  
History Of

Meckel’s diverticulum is the most common congenital malalignment of the gastrointestinal tract, present in 2-4% of population. It occurs as an embryologic remnant of the vitelline duct. It may have different histological texture. Usually it is diagnosed only during autopsy or intraoperatively. Symptoms such as haemorrhage, inflammation or perforation are possible but very rare. The authors present a case of a patient who received scheduled surgical treatment due to right inguinal hernia. Meckel’s diverticulum was intraoperatively identified in the hernial sac. It was resected and sent for histopathological examination. Before the operation, the patient reported no history of diverticulum and no symptoms. A wedge resection and hernioplasty by Lichtenstein’s method were performed. Hernioplasty with mesh implantation and gastrointestinal tract discontinuity may be associated with a greater risk of infection; therefore prophylactic pre- and post-operative antibiotic therapy was administered. The surgery and the hospitalisation period were uneventful. No symptoms of wound infection were observed, and the healing process was proper. Histopathology findings confirmed the diagnosis of Meckel’s diverticulum. The herniation of a Meckel’s diverticulum – the so-called Littre hernia, is a very rare condition. On average, one case is described every year. In 50% of cases, it is localised in right inguinal hernia, as in the described case. Standard treatment involves diverticulum resection and, depending on the local condition, resection of the adjacent fragment of intestine in some cases.

scholarly journals Perforated Meckel’s Diverticulum with Pancreatic and Gastric Heterotropia and Acute Peritonitis - A Case Report

2022 ◽  
Vol 12 (2) ◽  
pp. 115-118
Author(s):  
Monika Mehjabin ◽  
Mohammed Kamal ◽  
Md Abdus Sabur Talukder ◽  
Mizanur Rahman ◽  
Md Mozzamel Hoque ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Wedge Resection ◽  
Iliac Fossa ◽  
Meckel’S Diverticulum ◽  
Acute Onset ◽  
Meckel's Diverticulum ◽  
Midline Incision ◽  
Acute Peritonitis ◽  
First Case ◽  
Meckel’S Diverticulitis

Meckel’s diverticulum, the most common congenital anomaly of small bowel although usually silent, can cause complications like intestinal obstruction, bleeding, diverticulitis, perforation etc. We report a case, which presented with acute onset of severe pain in right iliac fossa which was clinically and sonographically diagnosed as acute appendicitis. Histopathological report of appendix was non specific findings. Four days after appendectomy patient again came with features of acute abdomen. X-ray abdomen showed free gas under diaphragm. Abdomen was explored with a midline incision, a perforated Meckel’sdiverticulum was found which was managed by wedge resection and repair of the ileum. Histopathological examination of specimen revealed diverticular wall with normal appearing intestinal mucosa and muscle coat which showed two heterotrophic tissues (pancreatic and gastric ) in the wall.These also showed features of perforation and acute peritonitis. This is probably the first case of Meckel’s diverticulitis with heterotropic pancreatic and gastric tissue in Bangladesh. J Shaheed Suhrawardy Med Coll 2020; 12(2): 115-118

scholarly journals Intestinal obstruction due to incarcerated Meckel’s diverticulum (Littre’s hernia)

2019 ◽  
pp. 1-2
Author(s):  
Soledad Aguado Henche ◽  
Hernández Fernández L.M ◽  
Slocker de Arce A ◽  
Díaz Pedrero R
Keyword(s):  
Inguinal Hernia ◽  
Gastrointestinal Tract ◽  
Intestinal Obstruction ◽  
Surgical Resection ◽  
Femoral Hernia ◽  
Meckel’S Diverticulum ◽  
Vascular Complications ◽  
Meckel's Diverticulum ◽  
Very Old ◽  
Littre’S Hernia

Meckel's diverticulum it is the most common malformation of the gastrointestinal tract. Femoral hernia is the second most common inguinal hernia, and is characterized by incarceration and strangulation. We present a case of 90-year-old woman wiht strangulation of Meckel’s diverticulum in a left-sided femoral hernia. The diverticulum was resected and hernia was repared wihtout complications. A Littre’s hernia is a complication of Meckel’s diverticulum and it is a result of its protrusion through a herniary orifice. Surgical resection is recommended for this type of hernia due to possible vascular complications, intestinal obstruction and herniation. Although usually Littre’s hernia appears in the early ages of the life, we must not ignore their possible appearance in people who are aged. We present in this case a Littre’s hernia in a very old woman.

scholarly journals Phytobezoar Within Meckel’s Diverticulum Presenting With Partial Intestinal Obstruction

2020 ◽  
Author(s):  
Reza Mosaddegh ◽  
Mohammad Hossein Ghafouri ◽  
Mahdi Rezai ◽  
Mohammad Reza Maghsoudi ◽  
Farzaneh Beigmohammadi
Keyword(s):  
Gastrointestinal Tract ◽  
Intestinal Obstruction ◽  
Case Reports ◽  
Meckel’S Diverticulum ◽  
Ileocecal Valve ◽  
Meckel's Diverticulum ◽  
Midline Laparotomy ◽  
Ectopic Tissue ◽  
History Of ◽  
Partial Intestinal Obstruction

Introduction: Meckel’s Diverticulum (MD) affects approximately 2% of the population. Phytobezoar is defined as a vegetable and fiber-based ball in the gastrointestinal tract. We report a rare case of phytobezoar within MD presenting with partial intestinal obstruction. Case Reports: We hereby present a 20-year-old man who referred to the Emergency Department of a hospital with a two-day history of nausea, vomiting, abdominal pain, and constipation. He underwent a midline laparotomy with surgical exploration, which revealed an MD 60 cm proximal to ileocecal valve containing phytobezoar. Histopathology reported the extracted specimen as an MD without ectopic tissue. Conclusion: Meckel’s diverticulum can be affected by bezoars as well as other parts of the gastrointestinal tract. We recommend that phytobezoar within MD be considered among differential diagnosis of bowel obstruction.

scholarly journals Rare Etiology of Odynophagia in a Female Adolescent

2021 ◽  
pp. 352-358
Author(s):  
Anastasios Koutsoumourakis ◽  
Asterios Gagalis ◽  
Maria Fotoulaki ◽  
Maria Stafylidou
Keyword(s):  
Antiviral Treatment ◽  
Healing Process ◽  
Rare Condition ◽  
Female Adolescent ◽  
Mucosal Barrier ◽  
Esophageal Mucosa ◽  
Intact Immune System ◽  
History Of ◽  
Orolabial Herpes

Herpes esophagitis (HE) is a rare condition in immunocompetent adolescents. However, it commonly occurs as a primary infection in younger individuals. Herein, we report a 16-year-old female patient who had a history of fever for 5 days, odynophagia, and orolabial herpes infection for 7 days. Clusters of painful vesicles on an erythematous base on the lips, gingiva, and palate were observed on physical examination. Further, esophagogastroduodenoscopy revealed diffuse linear ulcerations in the distal esophagus. The patient then received the following treatment: intravenous (I.V.) acyclovir 5 mg/kg three times a day, I.V. omeprazole 40 mg two times a day, and acyclovir 5% cream four times a day. After 8 days of admission, the patient was discharged. A follow-up esophagogastroduodenoscopy was performed 7 weeks after discharge, and the results revealed that the esophageal mucosa had a normal appearance. The effect of antiviral treatment against HE remains unknown in these patients. Nevertheless, it is believed to accelerate the healing process in individuals with esophageal mucosal barrier damage. To the best of our knowledge, this case of a female adolescent with an intact immune system is the sixth case of herpes simplex esophagitis to be reported in the literature.

scholarly journals Acute abdomen in children due to different presentations of complicated Meckel’s diverticulum: a case series

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Hisham A. Almetaher ◽  
Mohammed Awad Mansour
Keyword(s):  
Congenital Abnormality ◽  
Wedge Resection ◽  
Meckel’S Diverticulum ◽  
Case Series ◽  
Postoperative Outcome ◽  
Meckel's Diverticulum ◽  
Gastrointestinal Disorders ◽  
Clinical Presentations ◽  
Life Threatening ◽  
Small Base

Abstract Background Meckel’s diverticulum (MD) is the commonest congenital abnormality of the gastrointestinal tract that occurs in 2% of general population. It remains asymptomatic, but it may lead to life-threatening complications. These complications may be misdiagnosed with other gastrointestinal disorders like acute appendicitis, making its diagnosis challenging among pediatricians and pediatric surgeons. In this study, we reported five cases with different presentations of complicated MD in children. Results Five patients with different presentations of MD were reported during the period from January 2016 to January 2020. Patients’ demographics, clinical presentations, investigations, operative data, and postoperative outcome were recorded and analyzed. Conclusions The present study highlights different presentations of MD. Surgical interference is the main key of treatment of symptomatic MD either by wedge resection of a small base diverticulum or by resection anastomosis of the small intestine in wide base and inflamed diverticulum.

Meckel's diverticulum impingement in inguinal hernia

1986 ◽  
Vol 67 (2) ◽  
pp. 135-135
Author(s):  
G. M. Chekaev
Keyword(s):  
Inguinal Hernia ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum

Among the complications associated with the presence of Meckel's diverticulum, its impingement in an inguinal hernia is rare. This circumstance and difficulty of diagnosis prompted us to share our observation.

scholarly journals Meckel’s diverticulum and bowel obstruction due to phytobezoar: a case report

2016 ◽  
Vol 38 (2) ◽  
Author(s):  
Marco Gasparella ◽  
Maurizio Marzaro ◽  
Mario Ferro ◽  
Carlo Benetton ◽  
Vittorina Ghirardo ◽  
...  
Keyword(s):  
Case Report ◽  
Gastrointestinal Tract ◽  
Bowel Obstruction ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Diagnostic Difficulties

Meckel’s diverticulum is a common anomaly of the gastrointestinal tract. The most common complications of Meckel’s diverticulum are inflammation, bleeding and obstruction. We present a 12-year-old boy with bowel obstruction due to phytobezoar in a Meckel’s diverticulum. We describe diagnostic difficulties and our surgery approach comparing it to the literature.

scholarly journals Intestinal Intussusception Due to Meckel’s Diverticulum.

2019 ◽  
pp. 1-5
Keyword(s):  
Congenital Anomaly ◽  
Gastrointestinal Tract ◽  
General Population ◽  
Rare Case ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Abdominal Complications ◽  
Intestinal Intussusception

Abstract Meckel’s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract and affects 1% - 4% of the general population. Most patients are asymptomatic throughout their lives, but it is estimated that 4% - 6% will have some symptoms, which usually occur due to abdominal complications. This study aimed to report a rare case of Meckel’s diverticulum complicated by intestinal intussusception.

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.

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