scholarly journals Chronic Nocturnal Abdominal Pain as the Presentation of Inverted Meckel Diverticulum: A Case Report

Children ◽  
2022 ◽  
Vol 9 (1) ◽  
pp. 69
Author(s):  
Ting-Yu Wang ◽  
Yu-Tsun Su ◽  
Po-Jui Ko ◽  
Yea-Ling Chen ◽  
Hsiang-Hung Shih ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Meckel’S Diverticulum ◽  
Clinical Manifestations ◽  
Exploratory Laparotomy ◽  
Meckel's Diverticulum ◽  
Distended Abdomen ◽  
History Of ◽  
The Common ◽  
Hospital Visits ◽  
Inverted Meckel’S Diverticulum

The common clinical manifestations of Meckel’s diverticulum include painless lower gastrointestinal bleeding and intestinal obstruction due to intussusception. Intussusception induced by inverted Meckel’s diverticulum has rarely been reported; furthermore, there is no report thus far of chronic nocturnal abdominal pain as a presenting symptom in children with Meckel’s diverticulum. A 4-year-and-10-month-old girl with no significant history of previous illness presented with the sole complaint of chronic nocturnal abdominal pain for 3 months. The patient was reported to be asymptomatic during the day. A provisional diagnosis of chronic ileoileal intussusception was already under consideration in her previous hospital visits elsewhere. Physical examination revealed a soft, non-distended abdomen without tenderness. Imaging studies revealed ileoileal intussusception. Exploratory laparotomy showed ileoileal intussusception induced by an inverted Meckel’s diverticulum with ulceration. The patient underwent successful surgery and made a full recovery. We report this case to remind physicians that Meckel’s diverticulum should be considered in differential diagnosis of children presenting with the isolated symptom of chronic nocturnal abdominal pain.

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 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>

Subacute Meckel’s diverticulum perforation

2021 ◽  
Vol 14 (3) ◽  
pp. e237840
Author(s):  
Alberto Robles Méndez Hernández ◽  
Oscar Alejandro Mora-Torres ◽  
Hugolino Andrade Lopez ◽  
Jorge Alfonso Perez Castro Y Vazquez
Keyword(s):  
Abdominal Pain ◽  
Adult Population ◽  
Meckel’S Diverticulum ◽  
Ileocecal Valve ◽  
The Elderly ◽  
Meckel's Diverticulum ◽  
Intestinal Bleeding ◽  
History Of ◽  
Mechanical Anastomosis

Meckel’s diverticulum is the most common intestinal congenital defect, its prevalence is 0.2%–4.0% and it occurs more commonly in children younger than 2-year old with intestinal bleeding and abdominal pain. Perforation in the elderly is very rare with no more than 35 articles reported worldwide. Here we report the case of a 62-year-old man who was admitted to hospital with a history of acute abdominal pain with a 20-day onset. The patient was treated with laparotomy and 30 cm ileal resection was performed for an 8×5 cm perforated ileum tumour at 50 from ileocecal valve with a side-to-side mechanical anastomosis for reconstruction. Having morbidity Clavien-Dindo scale I in postsurgical and good outcome in 6-month follow-up. Meckel’s diverticulum is an infrequent pathology in paediatric and even rarer in adult population, however, it is always important to keep in mind how to act when is seen either as a finding or as a complication.

scholarly journals Intussusception due to an Inverted Meckel’s Diverticulum Diagnosed by Double-Balloon Enteroscopy

2017 ◽  
Vol 11 (3) ◽  
pp. 640-644 ◽  
Author(s):  
Yuki Kawasaki ◽  
Satoshi Shinozaki ◽  
Tomonori Yano ◽  
Kenichi Oshiro ◽  
Mitsuaki Morimoto ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Meckel’S Diverticulum ◽  
Ileocecal Valve ◽  
Meckel's Diverticulum ◽  
Double Balloon Enteroscopy ◽  
Balloon Enteroscopy ◽  
Double Balloon ◽  
Contrast Medium Injection ◽  
Emergent Surgery ◽  
Inverted Meckel’S Diverticulum

An 18-year-old man presented after undergoing multiple investigations for abdominal pain. Retrograde double-balloon enteroscopy showed a protruding red lesion in the ileum with small ulcers, approximately 75 cm proximal to the ileocecal valve, resulting in an intussusception. An inverted Meckel’s diverticulum was strongly suspected. Pressure was applied to the protruding lesion using contrast medium injection after wedging the lumen with a balloon. The intussusception partially reduced, avoiding the need for emergent surgery. Endoscopic tattooing was performed to mark the lesion for subsequent resection. Elective laparoscopy-assisted surgery with minimum laparotomy revealed an inverted Meckel’s diverticulum, which was resected.

Sigmoid Volvulus in 16-year-old Boy with an Associated Anomalous Congenital Band

2013 ◽  
Vol 79 (11) ◽  
pp. 1140-1141 ◽  
Author(s):  
Ann A. Albert ◽  
Tracy L. Nolan ◽  
Bryan C. Weidner
Keyword(s):  
Abdominal Pain ◽  
African American Male ◽  
Pediatric Patients ◽  
Primary Anastomosis ◽  
Exploratory Laparotomy ◽  
Sigmoid Volvulus ◽  
Sudden Onset ◽  
Contrast Enema ◽  
Pediatric Age Group ◽  
History Of

Sigmoid volvulus, a condition generally seen in debilitated elderly patients, is extremely rare in the pediatric age group. Frequent predisposing conditions that accompany pediatric sigmoid volvulus include intestinal malrotation, omphalomesenteric abnormalities, Hirschsprung's disease, imperforate anus and chronic constipation. A 16-year-old previously healthy African American male presented with a 12 hour history of sudden onset abdominal pain and intractable vomiting. CTwas consistent with sigmoid volvulus. A contrast enema did not reduce the volvulus, but it was colonoscopically reduced. Patient condition initially improved after colonoscopy, but he again became distended with abdominal pain, so he was taken to the operating room. On exploratory laparotomy, a band was discovered where the mesenteries of the sigmoid and small bowel adhered and created a narrow fixation point around which the sigmoid twisted. A sigmoidectomy with primary anastomosis was performed. The diagnosis of sigmoid volvulus may be more difficult in children, with barium enema being the most consistently helpful. Seventy percent of cases do not involve an associated congenital problem, suggesting that some pediatric patients may have congenital redundancy of the sigmoid colon and elongation of its mesentery. The congenital band found in our patient was another potential anatomic factor that led to sigmoid volvulus. Pediatric surgeons, accustomed to unusual problems in children, may thus encounter a condition generally found in the debilitated elderly patient.

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 Endoscopic full-thickness resection for inverted Meckel’s diverticulum using double-balloon enteroscopy

Endoscopy ◽  
2017 ◽  
Vol 49 (S 01) ◽  
pp. E66-E67 ◽  
Author(s):  
Kazutoshi Konomatsu ◽  
Toshio Kuwai ◽  
Toshiki Yamaguchi ◽  
Hiroki Imagawa ◽  
Atsushi Yamaguchi ◽  
...  
Keyword(s):  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Full Thickness ◽  
Double Balloon Enteroscopy ◽  
Balloon Enteroscopy ◽  
Double Balloon ◽  
Endoscopic Full Thickness Resection ◽  
Inverted Meckel’S Diverticulum

Fulminant varicella hepatitis: a rare but lethal cause of abdominal pain

2021 ◽  
Vol 14 (9) ◽  
pp. e244081
Author(s):  
Christopher Fang ◽  
Junice Wong ◽  
Wei Wen Ang
Keyword(s):  
Abdominal Pain ◽  
Hepatitis A ◽  
Case Reports ◽  
Antibody Testing ◽  
Salient Points ◽  
Vesicular Rash ◽  
History Of ◽  
Laboratory Investigations ◽  
The Common ◽  
Upper Abdominal

An 81-year-old woman with no history of immunocompromise presented with 2 days of upper abdominal pain associated with nausea. On arrival, her physical examination was unremarkable apart from mild epigastric and right hypochondriac tenderness, and laboratory investigations were unremarkable apart from mild thrombocytopenia and transaminitis. A CT scan performed on the day of admission revealed a tiny 0.3 cm stone in the common bile duct, with no upstream dilatation. On day 2 of admission, she developed a vesicular rash and with acutely worsening transaminitis. She deteriorated rapidly and demised from complications of acute liver failure within the next 24 hours. The diagnosis of varicella was confirmed with antibody testing. Fulminant varicella hepatitis is an extremely rare and lethal condition with only a handful of reported cases in the current literature. We aim to share our clinical experience and summarise the salient points from existing case reports.

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