Meckel's diverticulum: A review

Uppal, Kiranjit; Tubbs, R. Shane; Matusz, Petru; Shaffer, Kitt; Loukas, Marios

doi:10.1002/ca.21094

Cited by 109 publications

(136 citation statements)

References 48 publications

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“…Small bowel diverticula are thin-walled sacculations that, in contrast to Meckel diverticula (13), consist only of mucosa, submucosa, and occasionally a thin layer of serosa without muscle (can thus be referred to as "pseudodiverticula''). They are almost always located on the mesenteric border, at the site of entry of the vasa recta which consist the locus minoris resistentiae of the small bowel (14).…”

Section: Discussionmentioning

confidence: 99%

Rare Coexistance of Ileal Diverticulosis, Crohn’s Disease and Small Bowel Adenocarcinoma: Report of a Case

Spartalis

Garmpis

Spartalis

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Rare Coexistance of Ileal Diverticulosis, Crohn’s Disease and Small Bowel Adenocarcinoma: Report of a Case

Spartalis

Garmpis

Spartalis

et al. 2018

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“…1 It is a result of incomplete obliteration of the omphalomesenteric duct during the seventh week of gestation and it is classically located two feet proximal to the ileocaecal valve. 2 The complications of a MD in adults include diverticulitis, bleeding, intussusception, bowel obstruction, a volvulus, a vesicodiverticular fistula, perforation or very rarely a tumour, and the incidence ranges between 4% and 16%. 1 The most frequent complications in adults are obstruction (14-53%), ulceration (<4%), diverticulitis and perforation.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management of terminal ileal volvulus caused by Meckel’s diverticulum

Xanthis

Hakeem

Safranek

2015

annals

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Complications from a Meckel's diverticulum include diverticulitis, bleeding, intussusception, bowel obstruction, a volvulus, a vesicodiverticular fistula, perforation or very rarely as a tumour. We report a case where a Meckel's diverticulum presented with a terminal ileal volvulus in a 32-year-old man without the presence of a typical vitelline band or axial torsion of the diverticulum causing the volvulus. It was successfully managed laparoscopically. KEYWORDSMeckel's diverticulum -Ileal volvulus -Small bowel obstruction -Minimally invasiveLaparoscopic Meckel's diverticulum (MD) is the most common congenital malformation of the gastrointestinal tract.1 Although it presents more commonly in a paediatric age group, a diverticulum can become symptomatic in adults, presenting as diverticulitis, bleeding, intussusception, bowel obstruction, a volvulus, a vesicodiverticular fistula, perforation or very rarely as a tumour. We report a case where a MD presented with a terminal ileal volvulus without the existence of the typical vitelline band or axial torsion of the diverticulum causing the volvulus that was successfully managed laparoscopically. Case HistoryA 32-year-old man presented with colicky right-sided abdominal pain associated with vomiting and absolute constipation for the preceding 24 hours. He reported many previous episodes of similar abdominal pain, associated with vomiting and constipation, that were followed by diarrheoa, which resolved spontaneously. The patient had required admission two years previously with similar symptoms, at which point a computed tomography of the abdomen and pelvis (CTAP) demonstrated small bowel obstruction with a transition point at the distal ileum, suggestive of ileal volvulus. As the patient's symptoms resolved spontaneously, he was discharged within 24 hours. Owing to persistent epigastric pain, outpatient ultrasonography of the upper abdomen and upper gastrointestinal endoscopy were requested, both of which were unremarkable. The patient was reviewed in the outpatient clinic at three months and as he was symptom free, he was discharged with advice to return if symptoms recurred.On examination, there were no hernias. The patient was tender to deep palpation in the epigastrium and right side of the abdomen. The inflammatory markers were elevated (white cell count 11.5 Â 10 9 /l, C-reactive protein 16mg/l). Urgent CTAP was requested, which demonstrated similar findings to the previous imaging with high grade small bowel obstruction secondary to volvulus of terminal ileum with the whirlpool sign of the small bowel mesentery (Fig 1).A diagnostic laparoscopy was performed. The infraumbilical Hasson technique was used to generate the pneumoperitoneum. Two further ports were inserted under vision: a 12mm port for the left iliac fossa and a 5mm port in the right upper quadrant. The intraoperative findings were twisted small bowel mesentery adherent to the anterior abdominal wall at the right iliac fossa (Fig 2) and minimal adhesions in the left iliac fossa. On further di...

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“…It is generally painless. 13 The obstruction connected to the MD usually occurs in adults and especially the intussusception, Littre hernia, mesodivertikuler band, Meckel's diverticulum lithiasis, volvulus and axial torsion of MD are the reasons that led to obstruction. 13 Meckel's diverticulitis is mostly common in the elderly and is often misdiagnosed as appendicitis.…”

Section: Figurementioning

confidence: 99%

“…13 The obstruction connected to the MD usually occurs in adults and especially the intussusception, Littre hernia, mesodivertikuler band, Meckel's diverticulum lithiasis, volvulus and axial torsion of MD are the reasons that led to obstruction. 13 Meckel's diverticulitis is mostly common in the elderly and is often misdiagnosed as appendicitis. 13 Inverted MD, where I literally inverts the MD on itself, is the uncommon condition which underlying pathophysiology has not been explained fully.…”

Section: Figurementioning

confidence: 99%

“…13 Meckel's diverticulitis is mostly common in the elderly and is often misdiagnosed as appendicitis. 13 Inverted MD, where I literally inverts the MD on itself, is the uncommon condition which underlying pathophysiology has not been explained fully. 7 It may cause obstruction by direct luminal obliteration or acting as a lead-point for intussusception and on the other hand it may cause hemorrhage due to ulceration of the tip of the diverticulum, ectopic gastric mucosa, trauma or localized ischemia.…”

Section: Figurementioning

confidence: 99%

See 1 more Smart Citation

Inverted Meckel's Diverticulum in Adult Presented with Iron Deficiency Anemia and Caused Intussusception But Not Obstruction: Case Report

Habibi¹,

Karakoyun²,

Demirci³

et al. 2017

World Clin J Med Sci

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Meckel's diverticulum: A review

Cited by 109 publications

References 48 publications

Rare Coexistance of Ileal Diverticulosis, Crohn’s Disease and Small Bowel Adenocarcinoma: Report of a Case

Rare Coexistance of Ileal Diverticulosis, Crohn’s Disease and Small Bowel Adenocarcinoma: Report of a Case

Laparoscopic management of terminal ileal volvulus caused by Meckel’s diverticulum

Inverted Meckel's Diverticulum in Adult Presented with Iron Deficiency Anemia and Caused Intussusception But Not Obstruction: Case Report

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