Laparoscopic management of Meckel's diverticulum in children

Shalaby, Rafik; Soliman, Soliman M.; Fawy, M.; Samaha, A. Michael

doi:10.1016/j.jpedsurg.2004.11.032

Cited by 102 publications

(92 citation statements)

References 16 publications

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“…Our rationale in choosing MRI as a second-line radiological examination lay in the fact that we needed a better anatomical definition of what we suspected was a pelvic mass, without further irradiation of the child: there is no evidence for the use of MRI to detect MD in the literature. Final diagnosis is almost always done at surgery: exploratory laparoscopy is recommended because it affords the possibility of simultaneous surgical resection, which is the definitive cure of a symptomatic MD [10] .…”

Section: Discussionmentioning

confidence: 99%

Meckel’s diverticulum masked by a long period of intermittent recurrent subocclusive episodes

Codrich¹,

Taddio²,

Schleef³

et al. 2009

WJG

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Meckel's diverticulum (MD) is the most frequent congenital abnormality of the small bowel and it is often difficult to diagnose. It is usually asymptomatic but approximately 4% are symptomatic with complications such as bleeding, intestinal obstruction, and inflammation. The authors report a case of a 7-year-old boy with a one-year history of recurrent periumbilical colicky pain with associated alimentary vomiting, symptoms erroneously related to a cyclic vomiting syndrome but not to MD. The clinical features and the differential diagnostic methods employed for diagnosis of MD are discussed.

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Section: Discussionmentioning

confidence: 99%

Meckel’s diverticulum masked by a long period of intermittent recurrent subocclusive episodes

Codrich¹,

Taddio²,

Schleef³

et al. 2009

WJG

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“…Soltero and Bill [6] reported that the lifetime complication risk of Meckel diverticulum is 4.2% and decreases with age, reaching 0% at 76 years of age. In contrast, Shalaby et al [8] reported that the incidence of complications requiring surgery was 6.4%, with no trend related to age; the mortality rate of these patients was 1.5%, with 7% morbidity, while incidental removal had 1% mortality and 2% morbidity. Based on these results, they concluded that diverticulectomy is warranted.…”

Section: Discussionmentioning

confidence: 88%

“…Shalaby et al [8] reported about complication of Meckel diverticulum and operative mean age. The clinical data of 33 children admitted with rectal bleeding and/or recurrent abdominal pain with no identifiable cause were reviewed over a period of 8 years.…”

Section: Discussionmentioning

confidence: 99%

Panperitonitis due to Perforation of Meckel Diverticulum in Infant Period

Lee

Cho

Lee

et al. 2015

J Korean Assoc Pediatr Surg

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The perforation and subsequent panperitonitis as one of the complications of a Meckel diverticulum is a rare complication, especially in infants. Complication of Meckel diverticulum, preoperative and operative patient's mean age is about 5 years old. A 13-month-old male infant presented at our emergency room with currant jelly stool of about 24 hours duration. Intussusception or bacterial enteritis was initially suspected. Gastrointestinal ultrasonography showed no evidence of intussusception or appendicitis. On the 3rd hospital day, he suddenly showed high fever and irritability. Abdominal CT suggested intraperitoneal and retroperitoneal abscess with air collection due to possible bowel perforation. The final diagnosis of perforation of Meckel diverticulum was made by laparoscopy and biopsy. We report a very rare case with perforation of Meckel diverticulum in infant period.

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“…In a study by Higachi et al about 776 patients affected by Meckel's diverticulum, a correct preoperative diagnosis was made in 88% of those presenting with bleeding but only in 11% of cases when other symptoms were reported (Higaki et al, 2001). In doubtful cases, laparoscopy is an excellent diagnostic tool (Shalaby et al, 2005). However, technetium-99m pertechnate scan is the most common and accurate non-invasive investigation performed for these cases.…”

Section: Meckel's Diverticulummentioning

confidence: 99%