Intestinal Obstruction by Giant Meckel's Diverticulum

Capelão, Gustavo; Santos, Miguel C.; Hilário, Sandra; Laureano, Mónica; Nobre, João; Gonçalves, Inês Corrêa

doi:10.1159/000452690

Cited by 11 publications

(24 citation statements)

References 4 publications

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“…This diverticulum is located within 60cm of the ileocecal valve, in the antimesenteric border of the small bowel. Of those who have the diverticulum, the lifetime risk of complication is approximately 4% [9]. The commonest complication in adult patients is obstruction, followed by bleeding [8].…”

Section: Discussionmentioning

confidence: 99%

Meckel’s Diverticulum in Foramen of Winslow Hernia – A Rare Cause of Bowel Obstruction

Bendinelli¹,

Machado²

2020

IJSCR

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Foramen of Winslow hernia is a rare cause of bowel obstruction, historically linked to high morbidity and mortality. With the progression of high-resolution imaging devices, the early diagnosis of this pathology can be safely made. This has caused significant improvement in outcomes, where prompt surgical reduction can be readily organized. There has, however, not been any reported case of Meckel’s diverticulum driving this internal hernia. This is a case report of a foramen of Winslow hernia (FOWH) containing a Meckel’s diverticulum, managed via laparoscopic reduction of hernia contents and diverticulectomy.

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Section: Discussionmentioning

confidence: 99%

Meckel’s Diverticulum in Foramen of Winslow Hernia – A Rare Cause of Bowel Obstruction

Bendinelli¹,

Machado²

2020

IJSCR

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“…Many authors discouraged the resection of a broad-base or of a short length MD without palpable mass in the lumen in case of casually found [4,5]. In contrast, a long and narrow base diverticulum is prone to diverticulitis and torsion, while intussusception is a frequent complication detected with a short and stumpy base diverticulum [2]. Regarding the size of MD, those which the diameter is  5 cm may result in SBO [2].…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, a long and narrow base diverticulum is prone to diverticulitis and torsion, while intussusception is a frequent complication detected with a short and stumpy base diverticulum [2]. Regarding the size of MD, those which the diameter is  5 cm may result in SBO [2].…”

Section: Discussionmentioning

confidence: 99%

“…Only 2-4% of this anomaly may become symptomatic [1]. Its location and size are known by "the rule of twos", in which the diverticulum is frequently located 2 feet (60 cm) from the ileocecal valve and does not exceed 2 inches (5 cm) in length [2]. Gastrointestinal bleeding, inflammation, intussusception or SBO are the principle complications of MD [1].…”

Section: Introductionmentioning

confidence: 99%

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Torsion of Ileum Due To Giant Meckel's Diverticulum – A Case Report

Hung¹,

Tuan²,

Sy³

et al. 2019

Open Access Maced J Med Sci

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Background: Meckel’s diverticulum (MD) is detected in approximately 2% of all individuals and only 2-4% MD patients may develop symptoms. Small intestinal obstruction is a frequent complication in adults. Case report: A 48-year-old male was admitted to emergency department for high intestinal obstruction symptoms. The imaging examinations were failed to detect the underlying causes. A median laparotomy revealed small bowel obstruction (SBO) due to a segment of ileum twisted around a giant MD axis. Conclusion: Thus, a giant MD generating torsion of ileum is an unusual complication. Preoperative diagnosis is challenging. Emergency surgery is preferred to make an accurate diagnosis and for treatment.

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“…Meckel's diverticulum is a true diverticulum that includes all 3 coats of the small intestine. Meckel's diverticulum is a vestigial remnant of the omphalomesenteric duct [1]. Generally, Meckel's diverticulum ranges from 1-12 cm in length and is found 45-90 cm proximal to the ileocecal valve [2].…”

Section: Introductionmentioning

confidence: 99%

Intestinal Obstruction by Meckel’s Diverticulum in a 92 Years Old Woman

Sarkardeh

Sani

2020

Case Reports in Surgery

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Background. Meckel’s diverticulum is a vestigial remnant of the omphalomesenteric duct that in most cases (53%) is diagnosed in the first two years of life. Case report. A variety of complications are related to Meckel’s diverticulum including bleeding, intestinal obstruction, but in adults, the most important complication is intestinal obstruction. We reported Meckel’s diverticulum in a 92-year-old woman with symptoms of intestinal obstruction including abdominal pain, vomitus, and abdominal distention who referred to the hospital emergency. Imaging findings showed intestinal obstruction and laparotomy showed that the cause of intestinal obstruction was Meckel’s diverticulum. Finally, Meckel’s diverticulum was resected and the patient recovered. Conclusion. Intestinal obstruction because of a large Meckel’s diverticulum in an elderly woman is rare and requires a high attention for diagnosis, and it is almost discovered by surgery.

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Intestinal Obstruction by Giant Meckel's Diverticulum

Cited by 11 publications

References 4 publications

Meckel’s Diverticulum in Foramen of Winslow Hernia – A Rare Cause of Bowel Obstruction

Meckel’s Diverticulum in Foramen of Winslow Hernia – A Rare Cause of Bowel Obstruction

Torsion of Ileum Due To Giant Meckel's Diverticulum – A Case Report

Intestinal Obstruction by Meckel’s Diverticulum in a 92 Years Old Woman

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