Meckelʼs Diverticulum and Meckelʼs Diverticulum Disease A Study of 154 Cases

Surgical Treatment of Meckel's Diverticulum

“…The choice of a method depends on the size of MD, the presence of ectopic or neoplasmatic tissue within a diverticulum and a type of MD-related complication. Inversion and invagination of the MD stump into the lumen of the ileum has not been recommended for ages because it can cause intussusception and bowel obstruction (8). When the inflammatory process involves the base of MD and the contiguous intestinal wall too, small bowel resection should be performed (8).…”

“…Inversion and invagination of the MD stump into the lumen of the ileum has not been recommended for ages because it can cause intussusception and bowel obstruction (8). When the inflammatory process involves the base of MD and the contiguous intestinal wall too, small bowel resection should be performed (8). It may be also necessary in case of strangulation due to volvulus or intussusception (8).…”

“…MD most often is situated 20-100 cm from the ileocaecal valve (7). It is usually localized on the antimesenteric border of the ileum (2,3,8). MD receives its blood supply from a terminal branch of the superior mesenteric artery (3,5,9).…”

“…The right vitelline artery forms the superior mesenteric artery and the left usually involutes, but occasionally its remnant persists as a mesodiverticular band connecting MD with the mesentery (1). Failure of the obliteration of the vitelline duct leads to formation of various anomalies: fistula between the intestine and the umbilicus, enterocyst, fibrous band connecting the intestine with the umbilicus, umbilical sinus or MD (1,8,12). MD develops the most often (12).…”

“…Symptomatic MD occurs more rarely being 15.4-43.7% of all recognized Meckel's diverticula and MD is more often found during laparotomy warranted due to other causes (6,8,9,10,(12)(13)(14)(15)(16)(17). The research material of Pinero et al is the exception with 62.2% symptomatic diverticula (7).…”