Symptoms Investigate the Frequency of Various Presentations of the Meckel’s Diverticulum and Help Identify Sign Promptly

Background: Meckel's diverticulum is the most common anomaly of the intestine. It is usually asymptomatic but could also be symptomatic with complications such as bleeding, intestinal obstruction, and inflammation. This study was performed to assess the frequency of various presentations of the patients who underwent surgery with the diagnosis of Meckel's diverticulum in Children's Medical Center, Tehran, Iran from March 2005 to March 2011. Material and Methods: Since this study is a case series report (retrospective descriptive study) and the purpose is assessing the various presentation of Meckel’s` diverticulum, we express the frequency and percent frequency of each presentation. The data collection tool was a five-part survey form. The first part was related to demographic data, the second part was related to clinical data, the third part was related to diagnostic data, the fourth part was related to treatment data and the fifth part was related to histological data. Data were analysed using SPSS statistical program. Result: We found 49 patients in this period (71% male 29% female). The mean age was 3.5 years (1 month to 9 years). The male to female ratio was 2.5. The most common clinical symptoms were abdominal pain (63%). forty-three percent of patients had single symptoms and the others had combined symptoms such as abdominal pain and hematochezia. Only 8 patients with lower gastrointestinal bleeding had a Technetium scan and all of them were positive. Associated findings during surgery included appendicitis and invagination. Our sonographic imaging findings were nonspecific. In the pathologic report, 6 patients had gangrene in specimens and 2 perforations. The lining was of gastric type in 24 specimens pancreatic in 3 and mixed in 2 specimens. None of those with the gastric type of mucosa showed Helicobacter pylori infection. Conclusion: Regarding our findings, clinical findings of Meckel's diverticulum in our study were rather the same as in the literature. Pathologic examination of specimens revealed that most diverticula were lined by gastric type of mucosa. None of those with the gastric type of mucosa showed Helicobacter pylori infection.

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Lupus Enteritis, a Severe and Potentially Fatal Complication of Systemic Lupus Erythematosus

American Journal of Clinical Pathology ◽

10.1093/ajcp/aqz113.066 ◽

2019 ◽

Vol 152 (Supplement_1) ◽

pp. S64-S64 ◽

Cited By ~ 1

Author(s):

Hany Meawad ◽

Andrew Kobalka ◽

Yaseen Alastal ◽

Brooke Koltz

Keyword(s):

Systemic Lupus Erythematosus ◽

Abdominal Pain ◽

Lupus Erythematosus ◽

Clinical Symptoms ◽

Meckel’S Diverticulum ◽

Severe Abdominal Pain ◽

Meckel's Diverticulum ◽

Systemic Lupus ◽

Gi Symptoms ◽

Lupus Enteritis

Abstract Objectives Systemic lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease that can show wide manifestations in many organs. The gastrointestinal tract (GI) is commonly affected in SLE; symptoms are often related to the side effect of medications or to infections. One rare GI complication of SLE is lupus enteritis, a complex of manifestations including intestinal vasculitis and enteric ischemia, which presents with vague symptoms of severe abdominal pain, nausea, vomiting, and diarrhea. Methods We present the case of a 25-year-old female who was admitted to the hospital with complaints of abdominal pain, vomiting, diarrhea, and a history of SLE. Complicating the patient’s clinical picture and diagnosis was gastrointestinal bleeding requiring multiple blood product transfusions secondary to bleeding Meckel’s diverticulum, lupus flare, and positive stool culture for campylobacter antigen. Repeated upper and lower GI endoscopies with biopsy failed to identify the exact cause of bleeding and GI symptoms; the patient underwent exploratory laparotomy with right hemicolectomy to control bleeding. Microscopic examination revealed marked small vessel acute vasculitis consistent with lupus enteritis, ischemic enteritis, and Meckel’s diverticulum with gastric heterotopia. Results Our patient was subsequently aggressively treated; however, she developed further associated complications and died. Conclusion The pathologic diagnosis of lupus enteritis is challenging due to the nonspecific clinical symptoms and paucity of pathologic findings on most biopsy specimens. Lupus enteritis must be considered in the differential diagnosis of severe abdominal pain in lupus patients to aid in early diagnosis and treatment as this condition could be severe and potentially fatal.

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Helicobacter pylori infection, peptic ulceration, and Meckel's diverticulum

10.1093/med/9780198569862.003.0026 ◽

2011 ◽

Author(s):

R. Mark Beattie ◽

Anil Dhawan ◽

John W.L. Puntis

Keyword(s):

Developing Countries ◽

Helicobacter Pylori ◽

Meckel’S Diverticulum ◽

Meckel's Diverticulum ◽

Peptic Ulceration ◽

Helicobacter Pylori Infection ◽

Prevalence Rates ◽

Gram Negative ◽

H Pylori ◽

Common Infection

Helicobacter pylori194Other causes of antral gastritis and peptic (gastric and duodenal) ulceration 196Meckel's diverticulum 197•H. pylori is a Gram-negative organism. It is a very common infection worldwide. Infection is usually acquired in childhood, but prevalence rates are variable, being highest in developing countries. Most individuals infected with ...

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SEROPOSITIVITY OF HELICOBACTER PYLORI AND ASSOCIATED RISK FACTORS AMONG DYSPEPETIC PATIENTS

Universal Journal of Pharmaceutical Research ◽

10.22270/ujpr.v5i4.447 ◽

2020 ◽

Author(s):

Huda Mohammed Barajash ◽

Eidha Ali Bin-Hameed ◽

Ahmed Mohammed Al-Haddad

Keyword(s):

Helicobacter Pylori ◽

Peer Review ◽

Clinical Symptoms ◽

Demographic Data ◽

Age Groups ◽

Clinical Signs ◽

Helicobacter Pylori Infection ◽

Cross Sectional ◽

H Pylori ◽

E Mail

Background and Objectives: The prevalence of Helicobacter pylori infection is most common worldwide, and the seroprevalence of H. pylori infection varies greatly among societies and geographical locations. This study aimed to determine the seroprevalence of H. pylori infection among dyspepsia patients in Al-Mukalla city– Hadhramout/Yemen. Methods: A cross-sectional study was conducted among 100 suspected patients with dyspeptic disorders where the anti- H. pylori antibodies was detected using the H. pylori antibody test cassette rapid immune chromatographic assay. Also, a structured questionnaire was completed for each patient to collect socio-demographic data, personal hygienic status and some clinical signs. Results: The prevalence of serological positivity for H. pylori infection was 37% with a statistically significant value (P=0.000). A high prevalence of H. pylori infection was detected among male more than females. The age group 5–18 years followed by age groups 33–46 years and 47–60 years showed the highest prevalence of H. pylori infection. There was no significant association between H. pylori infection with social, demographic, behavioral, and health variables (P>0.05). Clinical signs of heartburn and regurgitation were found to be significant associated with H. pylori infection (P=0.014). Conclusions: Helicobacter pylori infection was found to be associated with dyspepsia. Heartburn and regurgitation have been found as clinical symptoms associated with H. pylori infection. Peer Review History: Received 18 July 2020; Revised 15 August; Accepted 29 August, Available online 15 September 2020 UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency. Received file Average Peer review marks at initial stage: 6.5/10 Average Peer review marks at publication stage: 8.0/10 Reviewer(s) detail: Name: Prof. Dr. Hassan A.H. Al-Shamahy Affiliation: Sana'a University, Yemen E-mail: [email protected] Name: Dr. Tanveer Ahmed Khan Affiliation: Hajvery University, Lahore, Pakistan E-mail: [email protected] Comments of reviewer(s): Similar Articles: PREVALENCE OF HELICOBACTER PYLORI AMONG ASYMPTOMATIC POPULATIONS IN SANA'A, YEMEN

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Meckel’s diverticulum and its plethoric presentation in paediatric surgery: a case series

International Surgery Journal ◽

10.18203/2349-2902.isj20214762 ◽

2021 ◽

Vol 8 (12) ◽

pp. 3668

Author(s):

Gomalaadevee Rajaram ◽

Pavin Kaur Bal Baldev Singh ◽

Muhammad Firdaus Bin Madzlan ◽

John Emmanuel Gilbert Fernandez ◽

Nurdaliza Binti Mohd Badarudin

Keyword(s):

Intestinal Obstruction ◽

Preoperative Diagnosis ◽

Congenital Abnormality ◽

Meckel’S Diverticulum ◽

Case Series ◽

Meckel's Diverticulum ◽

Paediatric Surgery ◽

Female Ratio ◽

Meckel’S Diverticulitis ◽

Male To Female

Meckel’s diverticulum (MD) is a congenital abnormality of the gastrointestinal tract resulting from incomplete obliteration of the vitellointestinal duct by 5th to 7th week of gestation. Incidence is 2% in the general population with a 2:1 male to female ratio. The various presentations of MD include gastrointestinal bleeding, intestinal obstruction, diverticulitis and intestinal perforation. Majority of the MD is asymptomatic however the potential risk of developing complication it's about 4-6%. Preoperative diagnosis of MD is challenging. We present 6 cases of MD managed at our centre over the course of 1 year. Two cases presented as intestinal obstruction secondary to mesodiverticular band from MD, one case with bleeding, two cases with intussusception and one case of meckel’s diverticulitis.

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

Annals of Pediatric Surgery ◽

10.1186/s43159-020-00055-7 ◽

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.

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Meckel’s diverticulum with intraperitoneal hemorrhage in a child detected with screening laparoscopy: a case report

Surgical Case Reports ◽

10.1186/s40792-021-01347-9 ◽

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.

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Helicobacter pylori in ectopic gastric mucosa in Meckel's diverticulum

Pathology ◽

10.1080/00313029800169585 ◽

1998 ◽

Vol 30 (1) ◽

pp. 7-9 ◽

Cited By ~ 18

Author(s):

Prudence Hill ◽

Jurgen Rode

Keyword(s):

Helicobacter Pylori ◽

Gastric Mucosa ◽

Meckel’S Diverticulum ◽

Meckel's Diverticulum ◽

Ectopic Gastric Mucosa

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

Case Reports in Emergency Medicine ◽

10.1155/2015/571847 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3 ◽

Cited By ~ 1

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.

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