scholarly journals A case of Meckel’s diverticulum with life-threatening recurrent gastrointestinal bleeding in an adult

2021 ◽  
Vol 38 (SI-1) ◽  
pp. 78-80
Author(s):  
Ufuk AVCIOĞLU ◽  
Berk BAŞ ◽  
Sultan ÇALIŞKAN
Keyword(s):  
Congenital Anomaly ◽  
Duodenal Ulcer ◽  
Gastrointestinal Bleeding ◽  
Intestinal Obstruction ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Gi Bleeding ◽  
Intrauterine Life ◽  
Life Threatening ◽  
Incomplete Closure

Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal system. It results from the incomplete closure of the omphalomesenteric canal in intrauterine life. It is mostly diagnosed in childhood with intestinal obstruction and bleeding. It is uncommon and often clinically silent in adults. Also, it is difficult to diagnose the patients with symptomatic Meckel’s diverticulum. We report a 28-year-old male who presented with life-threatening recurrent lower gastrointestinal (GI) bleeding and was operated with the diagnosis of Meckel’s diverticulum with duodenal ulcer.

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 Dyspepsia Meckeli

1990 ◽  
Vol 4 (4) ◽  
pp. 157-159
Author(s):  
Don Clark ◽  
Dilip G Patel
Keyword(s):  
Duodenal Ulcer ◽  
Gastrointestinal Bleeding ◽  
Acute Abdomen ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Duodenal Ulcer Disease ◽  
Ulcer Disease

A 40-year-old male was seen for evaluation of minor gastrointestinal bleeding. The patient had received an H2blocker as an outpatient for suspicion of duodenal ulcer disease. At endoscopy no lesion was seen and H2blockers were discontinued. The patient developed acute abdomen and at surgery a perforated Meckel's diverticulum was found.

scholarly journals Clinical Practice Recurrent Severe Obscure Gastro Intestinal- Bleeding in a 20 Year Old Man

2014 ◽  
Vol 11 (1) ◽  
pp. 81-85
Author(s):  
M Breidert ◽  
A Mandal ◽  
A Koller ◽  
N Huellebrand ◽  
B Malla
Keyword(s):  
Gastrointestinal Bleeding ◽  
Meckel’S Diverticulum ◽  
Exploratory Laparotomy ◽  
Meckel's Diverticulum ◽  
Intestinal Bleeding ◽  
Gi Bleeding ◽  
Double Balloon Enteroscopy ◽  
Morbus Osler ◽  
Massive Gastrointestinal Bleeding ◽  
Time Of Admission

Morbus Osler-Weber-Rendu syndrome also known as Hereditary hemorrhagic telangiectasia (HHT) and Meckel’s diverticulum is a rare combination disorder. Our case presented with the recurrent obscure gastrointestinal (GI) bleeding for several years. He came with a massive active lower gastrointestinal bleeding. Ultimatively, he underwent an exploratory laparotomy along with intraoperative colonoscopy. A Meckel’s diverticulum in combination with multiple erosions was found as a probable cause of the massive gastrointestinal bleeding. An ileo-caeacal resection had been performed and by the pathologist multiple telangiectasias in the resected ileum were established. Blood was sent for genetics and was negative for ENG, ALK-1, and SMAD-4 genes. The patient was discharged after 10 days from time of admission and is under regular follow up without any further bleeding. In this case, despite sophisticated techniques for investigations the cause of the GI-bleeding with several esophagogastroduodenoscopies and colonoscopies, mesenteric angiography and finally an oral double balloon enteroscopy was misdiagnosed till the intra operative endoscopy showed a middle GI-bleeding. The management for obscure GI-bleeding is discussed for countries with lower medical facilities like Nepal in our case with Morbus Osler-Weber-Rendu syndrome. DOI: http://dx.doi.org/10.3126/kumj.v11i1.11034 Kathmandu University Medical Journal Vol.11(1) 2013: 81-85

scholarly journals Clinicodemographic Profile and Outcome of Patients with Symptomatic Meckel's Diverticulum: Preliminary Findings

2020 ◽  
Vol 16 (1) ◽  
pp. 37-40
Author(s):  
Pravin Joshi ◽  
Narayan Belbase ◽  
Rohit Kumar Mishra ◽  
Mukesh Karki ◽  
Lalit Kumar Das
Keyword(s):  
Congenital Anomaly ◽  
Intestinal Obstruction ◽  
Clinical Presentation ◽  
Bowel Resection ◽  
Wedge Resection ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Fibrous Band ◽  
Common Procedure ◽  
Segmental Bowel Resection

Background: Meckel's diverticulum is the commonest gastrointestinal congenital anomaly. Though most of the cases do not present clinically, they are challenging to diagnose if become symptomatic. Spectrum of clinical presentation may be different from umbilical fistula, omphalomesenteric cyst  to fibrous band from diverticulum  to umbilicus. Bleeding, obstruction and infection are the most common complications. Vast majority of them are detected only intra-operatively.    Methods: We analyzed our patients who were intra-operatively diagnosed as symptomatic Meckel's Diverticulum. Socio-demographic profile and immediate outcome of operated patients was analyzed from patient's records.  Results: Total 9 patients were operated for symptomatic Diverticulitis. All patients were diagnosed intraoperatively. Intestinal obstruction was the commonest presentation. Diverticulectomy was the most common procedure performed followed by wedge resection and segmental bowel resection.  Conclusions: Symptomatic Meckel’s Diverticulum is difficult to diagnose pre-operatively. Vast majority of them are found only intra-operatively. Most of the patients do well after resection of Meckel's Diverticulum.  Keywords: Meckel’s diverticulum; surgery; symptoms.

scholarly journals Inverted Meckel's diverticulum associated with heterotopic pancreatic tissue causing intestinal obstruction: a case report

2021 ◽  
Vol 45 (1) ◽  
Author(s):  
Mahmoud Kamel ◽  
Hani Barsoum ◽  
Suzan Talaat ◽  
Eman Mustafa
Keyword(s):  
Congenital Anomaly ◽  
Small Intestine ◽  
Intestinal Obstruction ◽  
Meckel’S Diverticulum ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Case Presentation ◽  
Heterotopic Pancreatic Tissue ◽  
Heterotopic Tissue ◽  
Inverted Meckel’S Diverticulum

Abstract Background Meckel’s diverticulum is the most frequent congenital anomaly of the gastrointestinal tract. It can invert or invaginate into the small intestine lumen. It is usually associated with heterotopic tissue elements. Case presentation We present a case of inverted Meckel's diverticulum, clinically and radiologically diagnosed as intestinal obstruction due to intussusceptions. The diagnosis was suspected due to target sign shown on radiological examination. Pathologically, it was inverted Meckel's diverticulum obstructing the lumen in parallel plan mimicking the telescoping appearance, with heterotopic pancreatic tissue formed of exocrine and ductal components only. Conclusions Inverted Meckel’s diverticulum may present by vague symptoms and may simulate other causes of intestinal obstruction.

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 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.

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