scholarly journals Meckel’s Diverticulum with Multiple Ileal Ulcers as a Source of Massive Gastrointestinal Haemorrhage in a Three Year Old Child

2013 ◽  
Vol 33 (3) ◽  
pp. 227-229
Author(s):  
Raashid Hamid ◽  
Sajad A Wani ◽  
AH Shera ◽  
Sheikh Khurshid ◽  
NA Bhat ◽  
...  
Keyword(s):  
Congenital Anomaly ◽  
Small Bowel ◽  
Early Diagnosis ◽  
Clinical Features ◽  
Meckel’S Diverticulum ◽  
Gastrointestinal Haemorrhage ◽  
Massive Bleeding ◽  
Meckel's Diverticulum ◽  
Diagnosis And Treatment ◽  
Bleeding Per Rectum

Meckel’s Diverticulum (MD) is a frequent congenital anomaly of small bowel often difficult to diagnose. It is usually asymptomatic and can present as bleeding, obstruction and inflammation. We report a case of MD in a 3 year old male child, diagnosed by 99mTc pertechnetate scan and confirmed on laparotomy. Excised specimen revealed a large MD with multiple ileal ulcers, as a source of massive bleeding per rectum. The clinical features and need for early diagnosis and treatment are discussed. DOI: http://dx.doi.org/10.3126/jnps.v33i3.7802   J. Nepal Paediatr. Soc. 2013;33(3):227-229

scholarly journals Unusual Presentation of Meckel’s Diverticulum: Gangrene due to Axial Torsion

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Ahmet Rencuzogullari ◽  
Kubilay Dalci ◽  
Orcun Yalav
Keyword(s):  
Congenital Anomaly ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Preoperative Diagnosis ◽  
Iliac Fossa ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Life Threatening ◽  
Operative Findings ◽  
The Right

Meckel’s diverticulum is the most common congenital anomaly of the small bowel. The majority of cases are asymptomatic; however, life-threatening complications can also take place. We present a case of a 37-year-old male who was admitted with symptoms of acute, severe abdominal pain in the right iliac fossa. The patient was operated on with the preoperative diagnosis of acute appendicitis but the operative findings were consistent with torted Meckel’s diverticulum due to presence of mesodiverticular band and he was treated successfully with surgical resection.

scholarly journals Small Bowel Obstruction due to Mesodiverticular Band of Meckel's Diverticulum: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Aziz Sumer ◽  
Ozgur Kemik ◽  
Aydemir Olmez ◽  
A. Cumhur Dulger ◽  
Ismail Hasirci ◽  
...  
Keyword(s):  
Congenital Anomaly ◽  
Small Intestine ◽  
Case Report ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Rare Complication ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum

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.

scholarly journals Meckel’s diverticulum as a cause of intestinal obstruction

2021 ◽  
Vol 106 (106(812)) ◽  
pp. 99-102
Author(s):  
I. Garrido-Márquez ◽  
C. Dávila-Arias ◽  
E. Moya-Sánchez
Keyword(s):  
Congenital Anomaly ◽  
Surgical Treatment ◽  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Clinical Presentation ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Imaging Findings ◽  
Frequent Form

Meckel’s diverticulum is the commonest congenital anomaly of the gastrointestinal tract. It occurs due to fibrous degeneration of the umbilical end of the omphalomesenteric duct. Its diagnosis is usually incidental, but in approximately a third of cases, it produces symptoms due to complications. One of them is small bowel obstruction, which is the second most frequent form of presentation, so the knowledge of embryology, anatomy, clinical presentation and its imaging findings are important in order to perform a correct surgical treatment.

scholarly journals A Case Report and Literature Review: Grape Seeds Causing Meckel’s Diverticulitis, Perforation and Small Bowel Obstruction in a Young Adult Patient

2020 ◽  
Vol 1 (1) ◽  
pp. 39-44
Author(s):  
Houssam Khodor Abtar ◽  
Kassem Jammoul ◽  
Mostapha Mneimneh ◽  
Rayan El Lakkis ◽  
Mohammad Ahmad Al-Raishouni ◽  
...  
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Bowel Wall ◽  
Surgical Intervention ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Diagnosis And Treatment ◽  
Grape Seeds

Background: Meckel’s diverticulum is a true diverticulum consisting of a 3-layered outpouching of the bowel wall along the antimesenteric border. It is a remnant of the omphalomesenteric duct and the most common congenital gastrointestinal disorder. It has a male predilection and remains asymptomatic in the majority of cases. It constitutes a diagnostic challenge to physicians, as it can present with gastrointestinal bleeding in the pediatric population, and as an intestinal obstruction in adults. While the management of an asymptomatic Meckel’s diverticulum is on a case-by-case basis, when symptomatic, prompt surgical intervention is necessary, and a laparoscopic approach allows both in-situ diagnosis and treatment. Case Report: A 23-year-old previously healthy female patient, presented with diffuse abdominal pain, vomiting, and obstipation. Abdominal X-Ray and abdominopelvic Computed Tomography showed an intra-abdominal inflammatory process and evidence of bowel obstruction but were not conclusive. The patient was admitted to the hospital for management, and on the third day of hospitalization physical examination showed abdominal guarding suggestive of peritonitis. An urgent exploratory laparotomy identified a Meckel’s Diverticulum obstructed with phytobezoar grape seeds, and an inflamed and perforated bowel wall, with adhesive bands to proximal small bowel loops, necrosis, and resultant small bowel obstruction. We resected the Meckel’s diverticulum and the necrotic bowel and performed an end-to-end primary anastomosis of the small bowel. The postoperative course was uneventful, and the patient was discharged on the fourth postoperative day. Conclusion: The diagnosis of Meckel’s diverticulum remains a challenge as it has a myriad of clinical presentation and radiological imaging sometimes fails to provide a definite diagnosis. It must be systematically included in the differential diagnosis of small bowel obstruction in adult patients, as it requires prompt surgical intervention for both diagnosis and treatment.

Sudden Death Associated With Incarcerated Small Bowel Due to Mesodiverticular Band

2017 ◽  
Vol 20 (1) ◽  
pp. 63-65 ◽  
Author(s):  
Debra S Heller ◽  
Ada Baisre ◽  
Christian Curcio ◽  
Nawar Matti ◽  
Dianne Sinquee
Keyword(s):  
Congenital Anomaly ◽  
Small Bowel ◽  
Sudden Death ◽  
Rare Case ◽  
Closed Loop ◽  
Case Reports ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum

Meckel’s diverticulum is a congenital anomaly present in about 3% of the population and usually asymptomatic. Rarely, a mesodiverticular band extends from the tip of a Meckel’s diverticulum to the mesentery, thought to be due to lack of involution of the left vitelline artery. The presence of this band creates a closed loop through which loops of bowel can become entrapped. Rare case reports have described incarceration of bowel and sudden death in children. We present such a case and discuss this entity.

Inverted Meckel's diverticulum simulating a pedunculated small bowel polyp

1995 ◽  
Vol 20 (3) ◽  
pp. 236-237 ◽  
Author(s):  
M. Simms ◽  
D. A. Malatjalian ◽  
L. Fried ◽  
H. Al-Jawad
Keyword(s):  
Small Bowel ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Inverted Meckel’S Diverticulum

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 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 Axially torsional Meckel's diverticulum accompanied by small bowel volvulus: a case report

2021 ◽  
Vol 49 (10) ◽  
pp. 030006052110535
Author(s):  
Yang Chen ◽  
Yongzhi Liu ◽  
Lihui Jiang ◽  
Feng Jiang ◽  
Tieming Zhu
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Standard Treatment ◽  
Meckel’S Diverticulum ◽  
Delayed Diagnosis ◽  
Intestinal Resection ◽  
Meckel's Diverticulum ◽  
Small Bowel Volvulus ◽  
Blind Ending ◽  
Small Intestinal

Small bowel volvulus secondary to Meckel’s diverticulum is rare, and a delayed diagnosis results in disastrous outcomes. Computed tomography is conducive to early differential diagnosis. In particular, a blind-ending pouch structure on CT always indicates Meckel’s diverticulum. Diverticulectomy with or without adjacent partial small intestinal resection is the standard treatment for symptomatic Meckel’s diverticulum. However, the therapy for asymptomatic Meckel’s diverticulum is controversial. Here, we report the case of a 20-year-old man who suffered intestinal obstruction secondary to small bowel volvulus caused by an axially torsional, gangrenous, and giant Meckel’s diverticulum. Diverticulectomy with partial intestinal resection was performed.

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