scholarly journals Meckel's Diverticulum Series at UCMS, Bhairahawa, Nepal

2013 ◽  
Vol 1 (3) ◽  
pp. 56-57
Author(s):  
P Joshi
Keyword(s):  
Small Bowel ◽  
Meckel’S Diverticulum ◽  
Case Series ◽  
Pancreatic Tissue ◽  
Intestinal Wall ◽  
Meckel's Diverticulum ◽  
Medical Sciences ◽  
Medical College ◽  
Ileocaecal Junction ◽  
Specific Symptoms

Meckel's Diverticulum is the most common congenital malformation of the Gastrointestinal tract. It represent the patent intestinal end of the vitellointestinal duct. It occurs in 2 % of of population in autospy series and usually lie 60 cm from the Ileocaecal junction. It possesses all the three coats of intestinal wall. It has the same microscopic structure as the adjacent small bowel and it has a separate blood supply from the adjacent small bowel mesentery (the omphalomesenteric artery).1   In 20% of the cases, the mucosa contains heterotopic epithelium, namely gastric, colonic and sometimes pancreatic tissue. Although Meckel's diverticulum occurs with equal frequency in both sexes, symptoms usually resulting   from   the epithelium contained in the diverticulum predominantly occur in males.2Complications develop in only 4% of patients with this malformation, with most cases presenting in childhood3. Complications of Meckel's diverticulum include hemorrhage, bowel obstruction, inflammation, and perforation. All of these complications can be challenging to diagnose because patients may present with non-specific symptoms, which produce a clinical  picture that  can  mimic  other  more  common  gastrointestinal  disorders.4 Most  of  the  cases  are  diagnosed intraoperatively. Here, we present a case series of 5 patients in a year 2012 at Universal College of Medical College & Teaching Hospital, Bhairahawa, Nepal.DOI: http://dx.doi.org/10.3126/jucms.v1i3.8767  Journal of Universal College of Medical Sciences Vol.1(3) 2013: 56-57

scholarly journals Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID)

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Jen-Wei Chou ◽  
Chen-Shuan Chung ◽  
Tien-Yu Huang ◽  
Chia-Hung Tu ◽  
Chen-Wang Chang ◽  
...  
Keyword(s):  
Small Bowel ◽  
Meckel’S Diverticulum ◽  
Ileocecal Valve ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Primary Indication ◽  
The Mean ◽  
Small Intestinal ◽  
Retrospective Multicenter Study

Background and Aims. Patients with Meckel’s diverticulum (MD) are difficult to preoperatively diagnose because of its endoscopic inaccessibility. Balloon-assisted enteroscopy (BAE) allows endoscopic access to the entire small intestine. The aim of the current study was to investigate patients with MD diagnosed by BAE in Taiwan. Methods. We conducted a retrospective, multicenter study of patients with MD who were diagnosed by BAE in Taiwan. The clinical characteristics, endoscopic features, histopathological findings, treatment methods, and outcomes were analyzed. Results. A total of 55 patients with MD were enrolled (46 males and 9 females). The mean age at diagnosis was 34.1 years. Overt gastrointestinal bleeding (87.3%) was the primary indication for BAE, followed by abdominal pain (9.1%), suspected small bowel tumor (1.8%), and Crohn’s disease follow-up (1.8%). The mean distance between the ileocecal valve and MD was 71.6 cm (regarding diagnostic yields: BAE—100%, capsule endoscopy—40%, Meckel’s scan—35.7%, computed tomography—14.6%, small bowel series—12.5%, and angiography—11.1%; regarding endoscopic features of MD: a large ostium—89.1%, a small ostium—7.3%, and a polypoid mass—3.6%). Surgical treatment was performed in 76.4% patients, and conservative treatment was performed in 23.6% patients. The mean length of MD in 42 patients who underwent surgical resection was 5.2 cm (in 43 patients of MD with available histopathology: heterotopic gastric tissue, 42.4%, heterotopic gastric and pancreatic tissues, 7%; heterotopic pancreatic tissue, 4.7%; heterotopic colonic tissue, 2.3%; and a neuroendocrine tumor, 2.3%). Conclusions. The current study showed BAE is a very useful modality for detecting MD compared with other conventional modalities.

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.

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 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.

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.

scholarly journals Adult intussusception associated with mesenteric Meckel’s diverticulum and antimesenteric ileal polyp

2019 ◽  
Vol 12 (9) ◽  
pp. e230612
Author(s):  
Adrian K McGrath ◽  
Fatimah Suliman ◽  
Noel Thin ◽  
Ashish Rohatgi
Keyword(s):  
Small Bowel ◽  
Primary Anastomosis ◽  
Meckel’S Diverticulum ◽  
Small Bowel Resection ◽  
Meckel's Diverticulum ◽  
Adult Intussusception ◽  
Histopathological Analysis ◽  
Lead Point ◽  
Benign Polyp ◽  
Antimesenteric Border

Meckel’s diverticulum is the most common congenital abnormality affecting the gastrointestinal tract, affecting 4% of the general population. It is classically located on the antimesenteric border of the ileum within 100 cm of the ileocaecal valve. Complications may include haemorrhage, bowel obstruction, diverticulitis, perforation and malignancy. This report explores the case of intussusception in an adult, in association with a mesenteric Meckel’s diverticulum and adjacent benign polyp. A 40-year-old man presented with acute abdominal pain, affecting the central abdomen and both flanks. CT imaging revealed small bowel intussusception, with either a Meckel’s diverticulum or polyp acting as a lead point. Intraoperatively, the intussusception had already resolved; however, an inflamed outpouching was identified on the mesenteric border of the ileum, with a firm mass palpable within the bowel lumen. A 70 mm small bowel resection and primary anastomosis were performed. Histopathological analysis confirmed an inflamed Meckel’s diverticulum as well as an adjacent diverticulum comprising a benign polyp.

scholarly journals Meckel’s Diverticulitis. A rare cause of small bowel obstruction

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Andreas Skarpas ◽  
Petros Siaperas ◽  
Athanasios Zoikas ◽  
Emmanouela Griva ◽  
Ioannis Kyriazis ◽  
...  
Keyword(s):  
Bowel Obstruction ◽  
Meckel’S Diverticulum ◽  
Exploratory Laparotomy ◽  
Intestinal Wall ◽  
Complicated Diverticulitis ◽  
Meckel's Diverticulum ◽  
Bowel Loop ◽  
Distended Abdomen ◽  
Meckel’S Diverticulitis ◽  
Abdominal Quadrant

Abstract Meckel’s Diverticulum is a sac-like protrusion of the intestinal wall. It is located at 40–60 cm from the caecum. In the majority of cases, Meckel’s Diverticulum is clinically silent, while complications are found in 4% of the population. Complicated diverticulitis is associated with the formation of abscess, fistula, bowel obstruction or frank perforation. We present a case of a 63-year-old woman with a distended abdomen, pain in the lower right abdominal quadrant, fever 37°C and where emergency exploratory laparotomy revealed that obstruction was caused by a bowel loop trapped by a mesenterium-diverticular band.

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