Meckel's diverticulum in infants and children

Incidentally Detected Meckel Diverticulum

“…Early postoperative complications were reported in 33 articles with resected incidental MD 3-7,10,16 -42 and in 16 studies with nonresected incidental MD (Table 3). 3,5,7,8,10,12,18,20,26,28,31,33,37,[42][43][44] Of a total of 2975 patients, 132 (4.4%) had postoperative complications. Resection of incidentally detected MD had a FIGURE 1.…”

Acute Intestinal Obstruction Secondary to Meckel's Diverticula

“…The manner in which the intestine may become obstructed by a Meckel diverticulum is of great importance to the surgeon, and a thorough knowledge of the possibilities in any individual case will often permit him to give prompt relief by directing him at once to the seat of the obstruc¬ tion. In general, intestinal obstruction secondary to a Meckel diverticulum will fall into one of the following categories: (1) adhesive bands; (2) intussusception; (3) volvulus; (4) cicatricial narrowing secondary to ulcération or diverticulitis; (5) long diverticulum tied around the bowel as a noose or knot; (6) angulation of intestine at the point of attachment of a distended or cystic diverticulum; (7) prolapse of intestine through an umbilical fistula; (8) enterolith or gallstone extruded from the diverticulum into the intestine, and (9) contents of a hernial sac. To this list we would like to add another factor which was seen in three of our cases, namely an acute localized peritonitis secondary to peptic ulcération or diverticulitis with perforation.…”

“…level. On the follow¬ ing day a roentgenogram of the colon was negative, but the terminal ileum could be filled only 6 in. (about 15 cm.…”