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 Mimicking T- shaped giant meckel's diverticulum: another rare anatomical variant complicating small bowel obstruction by adhesions

2018 ◽  
Vol 5 (11) ◽  
pp. 3757
Author(s):  
Ambreen Mannan ◽  
Osama A. E. Alshumari
Keyword(s):  
Intestinal Obstruction ◽  
Iliac Fossa ◽  
Meckel’S Diverticulum ◽  
Lower Abdominal Pain ◽  
Tertiary Hospital ◽  
Meckel's Diverticulum ◽  
Bowel Loop ◽  
Anatomical Variant ◽  
Meckel’S Diverticulitis ◽  
Narrow Base

We report case with Meckel's diverticulitis complicated by adhesive intestinal obstruction. An adolescent of 13-yr-old boy with history of recurrent right sided lower abdominal pain and vomiting for two days. According to his mother he had been suffering this type of pain intermittently for last three years which was treated conservatively. This time the pain was out of proportion therefore she reported in tertiary hospital. On examination patient was tender at right iliac fossa region with abdominal guarding. CT scan of abdomen revealed multiple fluid-filled, dilated proximal bowel loops. Meckel's diverticulum was not suspected until diagnostic laparoscopy was performed. Patient was converted to open laparotomy where the giant (13 cm sized), narrow base mimicking T-shaped Meckel’s diverticulum and inter bowel loop adhesions near terminal ileum were seen.  About 20 cm affected ileal segment with Meckel’s diverticulum resected and primary end to end anastomosis performed. The postoperative course remained uneventful. Histopathology report confirms the inflammation of Meckel’s diverticulum. Significance of this type of Meckel’s diverticulum is its T-shaped mimicking appearance with giant size body and narrow base and was manifested with recurrent sub occlusive intestinal obstruction in the period of three years. It is the second ever reported case in English journals.

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 Perforation of a Meckel’s diverticulum secondary to chronic NSAID use: case report and review of the literature

2020 ◽  
Vol 7 (9) ◽  
pp. 3082
Author(s):  
Francisco Terrazas Espitia ◽  
David Molina Davila ◽  
Luis Villalobos Ramirez ◽  
Bruno Salazar Trujillo ◽  
Lucio Santos Moyron ◽  
...  
Keyword(s):  
Epigastric Pain ◽  
Iliac Fossa ◽  
Meckel’S Diverticulum ◽  
Ileocecal Valve ◽  
Acute Onset ◽  
Meckel's Diverticulum ◽  
Male Population ◽  
History Of ◽  
Heterotopic Tissue ◽  
The Right

Meckel´s diverticulum is an abnormality in the development of the gastrointestinal system, its origin and clinical significance was first described by Johan Friedrich Meckel in 1809. It is a remnant of the omphalomesenteric duct which is usually observed following the rule of 2’s, located 2 feet proximal to the ileocecal valve, before 2 years of age in approximately 2% of the population, and is twice as common in male population. It is considered a true diverticulum because it presents all the histopathological layers of the bowel; 6% of the cases present with heterotopic tissue, mainly pancreatic, gastric, colonic or jejunal. We present the case of a 37-year-old patient who presented with acute onset epigastric pain which migrated to the right iliac fossa, he had a history of chronic non-steroidal anti-inflammatory drugs (NSAIDs) usage for articular pain. He underwent abdominal contrast tomography (CT) scan with double iodine contrast enhancement, which revealed the presence of a perforated Meckel´s diverticulum in the antimesenteric portion of the terminal ileum. The patient underwent laparoscopic diverticulectomy with no complications and was discharged 72 hours after the procedure. Histopathological confirmation of a perforated meckel’s diverticulum with heterotopic gastric mucosa confirmed the clinical suspicion of perforation secondary to chronic NSAIDs usage.

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.

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 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.

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 Idiopathic Omental Infarction Mimic Acute Appendicitis: A Case Report

2020 ◽  
pp. 1-3
Author(s):  
Hamad Almakinzy ◽  
Bandar Idress ◽  
Hamad Almakinzy
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Inflammatory Markers ◽  
Iliac Fossa ◽  
Young Patients ◽  
Acute Onset ◽  
First Case ◽  
Laparoscopy Surgery ◽  
The Right

Idiopathic Omental Infarct (IOI) is a rare cause of an acute abdomen that arises from an interruption of blood supply to the omentum. Since first case was described by Elitelin 1899, more than 300 cases have been published [1]. It can mimic serious surgical pathology. It occurs in <1% of appendicitis cases [2]. It’s challenge to diagnose, as features may mimic acute appendicitis and therefore in young patients, may only be discovered intra-operative. Here, we present a case of omental infarct in 26-year-old gentleman with no significant medical or surgical background who present with acute onset of right iliac fossa (RIF) pain. Examination revealed tenderness over the right iliac fossa and was having localized rebound. His inflammatory markers were high. He was successfully treated with laparoscopy surgery and he was subsequently discharged the following day.

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.

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