scholarly journals IN A MECKEL’S DIVERTICULUM, PEPTIC PERFORATION - A CLASSIC SNAPSHOT! PERFORACIÓN PÉPTICA EN UN DIVERTICULO DE MECKEL: ¡UNA INSTANTÁNEA TÍPICA!

2016 ◽  
Vol 2 (3) ◽  
pp. 119-123
Author(s):  
Sujatha N Moorthy ◽  
Rekha Arcot
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Meckel’S Diverticulum ◽  
Adult Life ◽  
Meckel's Diverticulum ◽  
Emergency Laparotomy ◽  
Anatomical Anomaly ◽  
Paediatric Age ◽  
Meckel’S Diverticulitis ◽  
Multiorgan Dysfunction Syndrome

El divertículo de Meckel es un remanente congénito localizado en el ileum distal, el cual resulta de un defecto en el cierre del saco de Yolk. Esta anomalía es comunmente detectada en la poblacion pediátrica antes de los 2 años de edad. Por lo tanto, es una causa extraña de obstrucción intestinal y de mortalidad en adultos. Este es el reporte de un individuo de 26 años con 3 dias de fiebre y seis dias de dolor abdominal y vómito continuo. La laparotomía exploratoria demostró la presencia de una diverticulitis de Merkel y signos de obstrucción intestinal. Se realizó la resección del divertículo y parte del ileum afectado, seguido por anastomosis ileo-ileal. Sin embargo, el curso clinico del paciente se deterioró rápidamente debido al desarrollo de falla renal aguda y multiorgánica. Estas complicaciones llevaron al fallecimiento del paciente en su cuarto dia postoperatorio. En conclusión, la baja frecuencia de esta anomalía en adultos dificulta su diagnostico oportuno, teniendo como consecuencia un aumento en la mortalidad de estos casos clínicos. Meckel’s diverticulum is a congenital outpouching located in the distal ileum which occurs due to the failure of obliteration of the yolk stalk. The peak age in which this anomaly is mostly found is the paediatric age especially below the age of 2.  Hence it is noted as an uncommon cause of intestinal obstruction and fatality in adult life. This is a case report of a 26 year old man with abdominal pain and vomiting for 6 days associated with fever for 3 days. Emergency laparotomy revealed Meckel’s diverticulitis with small bowel obstruction. Meckel’s diverculectomy with ileal resection and ileoileal anastamosis was performed. However, the patient developed renal dysfunction leading to Multiorgan Dysfunction Syndrome and died on the 4th post operative day. This anatomical anomaly is rare in adult patients and is difficult to diagnose early due to its bizarre presentation resulting in high mortality. Hence we find this case of interest.

scholarly journals Concurrent intestinal malrotation and Meckel's diverticulum presenting as acute intestinal obstruction in an adult

2021 ◽  
Vol 8 (6) ◽  
pp. 1904
Author(s):  
Aishwarya Emerald Manohar ◽  
M. S. Kalyan Kumar ◽  
V. Vijayalakshmi ◽  
R. Kannan
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Meckel’S Diverticulum ◽  
Postoperative Recovery ◽  
Meckel's Diverticulum ◽  
Intestinal Malrotation ◽  
Emergency Laparotomy ◽  
Meckel’S Diverticulitis ◽  
Subacute Intestinal Obstruction

Intestinal malrotation is the partial or complete failure of rotation of midgut around the superior mesenteric artery, while Meckel’s diverticulum is the remnant of vitellointestinal duct and concurrence of these congenital abnormalities in an adult is considered a rarity. Till date only 3 cases of concurrent intestinal malrotation and Meckel's diverticulum have been reported. We report a 18 years male who presented with a 3 day history of abdominal pain, bilious vomiting, obstipation and chronic abdominal pain on and off since 3 years of age. During the last episode which occurred 1 year back, he was diagnosed with intestinal malrotation with subacute intestinal obstruction and was treated conservatively. Examination revealed the presence of signs of peritonitis. After resuscitation, CECT abdomen was taken which showed dilated small bowel loops in the subhepatic region associated with malrotation. Emergency laparotomy revealed a Ladd's band below which the gangrenous small bowel loops 150 cm from the duodenojejunal (flexure until 5 cm proximal to the ileocecal junction) were found herniating into the subhepatic region with a Meckel’s diverticulum and a right sided DJ flexure. We proceeded with the band release and resection of gangrenous bowel followed by proximal jejunostomy with distal ileostomy. HPE was consistent with Meckel’s diverticulitis without any ectopic gastric or pancreatic mucosa. Ostomy reversal was done after 8 weeks. Patient had an uneventful postoperative recovery during both the admissions and he is on regular follow-up now.

scholarly journals A Rare Cause of Abdominal Pain in Adults: Meckel’s Diverticulitis

2018 ◽  
Vol 12 (3) ◽  
pp. 709-714 ◽  
Author(s):  
Usman Pirzada ◽  
Hassan Tariq ◽  
Sara Azam ◽  
Kishore Kumar ◽  
Anil Dev
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Emergency Laparotomy ◽  
Contrast Enhanced ◽  
Meckel’S Diverticulitis ◽  
The Right ◽  
Enhanced Computed Tomography

A 42-year-old man presented to the emergency room with complaints of periumbilical abdominal pain. A contrast-enhanced computed tomography revealed mucosal thickening in the small bowel of the right abdomen. There was a fairly large small bowel diverticulum associated with this segment. Findings were suggestive of small bowel diverticulitis or possibly focal enteritis. A Meckel’s diverticulum scan was diagnostic of Meckel’s diverticulum. The patient was then immediately taken to the operating room for emergency laparotomy and was intra-operatively found to have a thickened Meckel’s diverticulitis with adjacent small bowel obstruction. Meckel’s diverticulectomy was performed in continuity with the adjacent inflamed small bowel. The patient had a stable postoperative course without any complications and was discharged within 10 days. At the 3-month follow-up, the patient was well and remained asymptomatic.

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

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

<p><strong>Resumen</strong></p><p>El 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.</p><p><strong>Abstract</strong><br /> 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.<strong></strong></p>

scholarly journals Intestinal Obstruction by Meckel’s Diverticulum in a 92 Years Old Woman

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Maryam Sarkardeh ◽  
Seyed Javad Davari Sani
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Intestinal Obstruction ◽  
Elderly Woman ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Imaging Findings ◽  
Hospital Emergency ◽  
Important Complication ◽  
Emergency Imaging

Background. Meckel’s diverticulum is a vestigial remnant of the omphalomesenteric duct that in most cases (53%) is diagnosed in the first two years of life. Case report. A variety of complications are related to Meckel’s diverticulum including bleeding, intestinal obstruction, but in adults, the most important complication is intestinal obstruction. We reported Meckel’s diverticulum in a 92-year-old woman with symptoms of intestinal obstruction including abdominal pain, vomitus, and abdominal distention who referred to the hospital emergency. Imaging findings showed intestinal obstruction and laparotomy showed that the cause of intestinal obstruction was Meckel’s diverticulum. Finally, Meckel’s diverticulum was resected and the patient recovered. Conclusion. Intestinal obstruction because of a large Meckel’s diverticulum in an elderly woman is rare and requires a high attention for diagnosis, and it is almost discovered by surgery.

SPONTANEOUS PERFORATION OF MECKEL'S DIVERTICULUM: A CASE REPORT AND REVIEW OF LITERATURE

2021 ◽  
pp. 50-51
Author(s):  
B. Santhi ◽  
Subhashini . A ◽  
Preethi. V
Keyword(s):  
Case Report ◽  
Unusual Case ◽  
Iliac Fossa ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Uneventful Recovery ◽  
Emergency Laparotomy ◽  
High Grade Fever ◽  
Meckels Diverticulum ◽  
The Right

Meckel's diverticulum is the commonest congenital abnormality of the gastrointestinal tract. Hemorrhage obstruction and inammation are the three main categories of complications resulting from Meckel's diverticulum. Spontaneously perforation of Meckel's diverticulum is very rare and mimics acute appendicitis. We report a case of 65 year-old female, who presented since 2 days worsening abdominal pain predominantly in the right iliac fossa associated with high grade fever and nausea. On physical examination her abdomen revealed diffuse tenderness, more over the right iliac fossa and the hypogastric region with guarding in the right iliac fossa. A provisional diagnosis of appendicular perforation was made. Our patient had an emergency laparotomy, where a perforated Meckel's diverticulum and advanced peritonitis were discovered. A resection of ileum with meckels diverticulum with end to end anastomosis of ileal loops were performed. Heterotopic mucosa of diverticulitis was conrmed on histopathology. The patient made an uneventful recovery postoperatively . This case report is an interesting and unusual case of Meckel's diverticulum complications and highlights the importance of considering Meckel's diverticulum as a differential diagnosis in every patient presenting with acute abdomen.

Perforated Meckel's diverticulum by chicken bone associated with terminal ilial volvulus in a child, a case report

2020 ◽  
Vol 10 (3) ◽  
pp. 61-63
Author(s):  
Alshaima Alghamdi
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Foreign Bodies ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Common Occurrence ◽  
Diffuse Abdominal Pain ◽  
Chicken Bone ◽  
Acute Small Bowel Obstruction

Foreign body ingestions are a common occurrence in children. The initial presentation can vary from the child being completely asymptomatic to a variety of symptoms. Perforation of Meckel’s diverticulum by foreign bodies is a rare cause of acute abdomen. It is usually diagnosed intra operative. We here in report on an unusual a case of 3-year-old male child who came to the Emergency department with diffuse abdominal pain associated with bilious vomiting and diarrhea. The initial diagnosis was acute small bowel obstruction. After exploration, it turned out to be perforated Meckel's diverticulum caused by a swallowed chicken bone.

scholarly journals Perforated Meckel’s Diverticulum in a 3-day-old Neonate; A Case Report

2016 ◽  
Vol 8 (4) ◽  
pp. 323-326
Author(s):  
Mehdi Frooghi ◽  
Ali Bahador ◽  
Alireza Golchini ◽  
Mahmood Haghighat ◽  
Maryam Ataollahi ◽  
...  
Keyword(s):  
Case Report ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum

scholarly journals Ectopic pancreatic-type malignancy presenting in a Meckel's diverticulum: a case report and review of the literature

2009 ◽  
Vol 7 (1) ◽  
Author(s):  
Hoey C. Koh ◽  
Blaithin Page ◽  
Catherine Black ◽  
Ian Brown ◽  
Stuart Ballantyne ◽  
...  
Keyword(s):  
Case Report ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Review Of The Literature

scholarly journals A Triad of Congenital Diaphragmatic Hernia, Meckel’s Diverticulum, and Heterotopic Pancreas

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Parkash Mandhan ◽  
Amer Al Saied ◽  
Mansour J. Ali
Keyword(s):  
Case Report ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Chromosomal Abnormalities ◽  
Meckel’S Diverticulum ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Developmental Anomaly ◽  
Heterotopic Pancreatic Tissue ◽  
First Case

Congenital diaphragmatic hernia is a common developmental anomaly encountered by paediatric surgeons. It is known to be associated with extradiaphragmatic malformations, which include cardiac, renal, genital, and chromosomal abnormalities. Herein, we report a newborn born with concurrent congenital diaphragmatic hernia, Meckel’s diverticulum, and heterotopic pancreatic tissue. This is the first case report of such a triad with description of possible mechanisms of the development.

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