A Pediatric Case of Meckel Diverticulum with Uncommon Presentation Showing No Lower Gastrointestinal Bleeding

Mehrabani, Sanaz; Osia, Soheil

doi:10.4081/pr.2017.6973

Cited by 4 publications

(2 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[5] Case reports of MD complicated with volvulus or internal hernia, which are rare complications, were previously reported, but the combination of internal hernia and intestinal volvulus as an obstruction is exceedingly rare. [11][12][13][14] We found only one such case in the literature particularly compatible with our patient, wherein the patient was a 2-year-old admit-ted to the hospital in poor condition, like in our case, who then underwent urgent laparotomy. There was an internal ileal hernia on an inflamed MD with an adherent band to the umbilical sinus and the herniated bowel loop was volvulated around the adhesive band.…”

Section: Discussionsupporting

confidence: 66%

Uncommon presentation of Meckel’s diverticulum in a child with decompensated hypovolemic shock

Şık¹

2020

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract and may cause serious complications such as intestinal obstruction, gastrointestinal hemorrhage, or inflammation with/without perforation, which can present with non-specific symptoms and signs. We report on the case of a 2.5-year-old boy admitted to our emergency department in poor condition, with compatible signs of decompensated hypovolemic shock. This case finally resulted in intestinal volvulus and internal hernia, a very rare combination of two complications of MD, as determined in the operating room.

show abstract

Section: Discussionsupporting

confidence: 66%

Uncommon presentation of Meckel’s diverticulum in a child with decompensated hypovolemic shock

Şık¹

2020

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…By the fifth to seventh week, this intestinal duct is normally obliterated; when this process fails, it can lead to numerous abnormalities such as omphalomesenteric fistula, omphalomesenteric cyst, and the most common one, Meckel's diverticulum, which occurs in approximately 2%–4% of the cases ( 1 , 2 ). It is an uncommon abdominal pathology in adults, often described with the “rule of twos”: occurring in 2% of the population, located approximately 2 ft from the ileocecal valve, measuring about 2 inches in length, being frequently observed in children under 2 years of age, and affecting males twice as often as females ( 3 , 4 ). It has been classically estimated that one in every 300–400 cases of acute abdomen in adults is caused by a complicated Meckel's diverticulum ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

Meckel's diverticulum: analysis of 27 cases in an adult population

Hernández,

Valencia,

Girón

et al. 2023

Front. Surg.

View full text Add to dashboard Cite

BackgroundMeckel's diverticulum is a rare congenital pathology among newborns. Nevertheless, it is an uncommon abdominal pathology in the adult population. Therefore, we aim to provide a detailed account of our surgical approach in treating 27 cases of Meckel's diverticulum.MethodsThis study is a cross-sectional analysis that utilized a database with prospectively collected data from 2004 to 2022. All patients under the age of 18 were excluded from the population. We described the population’s demographic characteristics, symptoms, anatomopathological study, surgical technique, complications, morbidity, and mortality. A subgroup analysis was performed between the symptomatic and asymptomatic patients.ResultsA total of 27 patients who underwent surgical resection for a posteriorly diagnosed Meckel's diverticulum were included. The male population accounted for 81.4% (n = 22) of the sample size. The symptomatic group consisted of 18 male and four female patients. Abdominal pain was the predominant symptom in 85% of the patients. Out of the 22 symptomatic patients, only 9% had a positive perioperative diagnosis of Meckel's diverticulum. All 27 patients with diverticulum diagnosis received the resection through diverticulectomy (n = 6), small bowel resection with end-to-end anastomosis (n = 6), and small bowel resection with lateral to lateral anastomosis (n = 15). The mean distance between the diverticulum and the ileocecal valve was 63.4 cm. The symptomatic group had an average diverticulum length of 3.54 cm, with an average base width of 2.47 cm. In the other group, the values were 2.75 and 1.61 cm. The average length of hospital stay in the symptomatic group was 7.3 days.ConclusionsMeckel's diverticulum is a rare pathology in the adult population. Its presentation varies from asymptomatic to symptomatic patients, and surgery is the cornerstone treatment for this pathology.

show abstract