Inverted Meckel’s Diverticulum with Ectopic Pancreatic Tissue as a Source of Severe Gastrointestinal Bleeding

Kopáčová, Marcela; Vykouřil, Ladislav; Vacek, Z; Tyčová, Věra; Bártová, Jolana; Rejchrt, Stanislav; Bureš, Jan

doi:10.1007/s11605-009-0838-2

Cited by 24 publications

(15 citation statements)

References 11 publications

(17 reference statements)

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“…However, CT may reveal a gas-filled structures or blind-ending fluid in continuity with the small intestine (29). With regard to uncomplicated patients such as those with intussusception, CT imaging can be applied and the inverted diverticulum is typically demostrated as an interior nucleus of fat attenuation which is encircled by an annulus of soft tissue attenuation (30). In cases where a lesion in the small intestine is suspected, the alternative radiological examination to conventional tomography is CT enteroclysis (31).…”

Section: Radiological Imagingmentioning

confidence: 99%

Meckel�s diverticulum: clinical features, diagnosis and management

Kuru¹,

Kısmet²

2018

Rev Esp Enferm Dig

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Meckel's diverticulum is the most common anomalous development of the gastrointestinal system that results from an incomplete vitelline canal. A diagnosis is usually made during the clinical examination of presentations such as unexplained gastrointestinal bleeding, obstruction, inflammation or perforation. The purpose of this review is to provide an adequate level of knowledge of the clinical and diagnostic features as well as the management of Meckel's diverticulum. Diagnosis of Meckel's diverticulum may be challenging as the condition remains asymptomatic or may mimic various diseases and obscure the clinical picture. Life-threatening complications include bleeding, obstruction, inflammation and perforation. Therefore, it is essential that anatomical and pathophysiological characteristics are known in detail in order to prevent complications which will result in morbidity and mortality.

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Section: Radiological Imagingmentioning

confidence: 99%

Meckel�s diverticulum: clinical features, diagnosis and management

Kuru¹,

Kısmet²

2018

Rev Esp Enferm Dig

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“…A few cases have reported an inverted Meckel's diverticula. This inversion can lead to intestinal obstruction or serve as a lead point for ileo‐ileal intussusception and can also simulate a pedunculated small bowel polyp (Fetterman, 1968; Giusti et al, 2004; Kopácová et al, 2010). Further cases have demonstrated obstruction via phytobezoar, tumors, and meconium.…”

Section: Clinical Findingsmentioning

confidence: 99%

Meckel's diverticulum: A review

et al. 2011

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Meckel's diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract. This anomaly is due to the incomplete obliteration of the omphalomesenteric duct during the 7th week of gestation and is classically located 2 feet proximal to the ileocecal valve. Variations of this congenital malformation have been recorded based on location, size, and form. While most of the population may be asymptomatic, clinical manifestation, including gastrointestinal bleed and intestinal obstruction, can emerge. Despite the frequency of Meckel's diverticulum, it is commonly misdiagnosed due to its mimicry of appendicitis. This article aimed to review this derailment of embryological development.

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“…Of these, hemorrhage from Meckel's diverticulum is common in children but relatively rare in adults (3,4). Only a few cases have been reported (3)(4)(5)(6)(7)(8). Accordingly, Meckel's diverticulum is usually overlooked as a possible cause of lower gastrointestinal hemorrhage in adults.…”

Section: Introductionmentioning

confidence: 99%