Meckel’s Diverticulum Strangulation

Ahmed, Mohamed A.; Elkahly, Mohamed; Gorski, Tito F.; Mahmoud, Ahmed; Essien, Francis

doi:10.7759/cureus.14817

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Meckel's diverticulum is the most prevalent congenital anomaly of the gastrointestinal tract with an incidence of 2%[ 11 ]. Patients are generally asymptomatic, with symptoms reported in 4%-7% of cases[ 12 ]. Almost half of children with Meckel's diverticulum present with symptoms of rectal bleeding or intussusception before the age of 2 years[ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Appendicitis combined with Meckel’s diverticulum obstruction, perforation, and inflammation in children: Three case reports

Sun,

Xin,

Liu

et al. 2024

World J Clin Cases

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BACKGROUND Meckel’s diverticulum is a common congenital malformation of the small intestine, with the three most common complications being obstruction, perforation, and inflammation. To date, only a few cases have been reported worldwide. In children, the clinical symptoms are similar to appendicitis. As most of the imaging features are nonspecific, the preoperative diagnosis is not precise. In addition, the clinical characteristics are highly similar to pediatric acute appendicitis, thus special attention is necessary to distinguish Meckel’s diverticulum from pediatric appendicitis. Patients with poor disease control should undergo laparoscopic exploration to avoid serious complications, including intestinal necrosis, intestinal perforation and gastrointestinal bleeding. CASE SUMMARY This report presents three cases of appendicitis in children combined with intestinal obstruction, which was caused by fibrous bands (ligaments) arising from the top part of Meckel's diverticulum, diverticular perforation, and diverticular inflammation. All three patients, aged 11-12 years, had acute appendicitis as their initial clinical presentation. All were treated by laparoscopic surgery with a favorable outcome. A complete dataset including clinical presentation, diagnostic imaging, surgical information, and histopathologic findings was also provided. CONCLUSION Preoperative diagnosis of Meckel’s diverticulum and its complications is challenging because its clinical signs and complications are similar to those of appendicitis in children. Laparoscopy combined with laparotomy is useful for diagnosis and treatment.

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Section: Discussionmentioning

confidence: 99%

Appendicitis combined with Meckel’s diverticulum obstruction, perforation, and inflammation in children: Three case reports

Sun,

Xin,

Liu

et al. 2024

World J Clin Cases

View full text Add to dashboard Cite

show abstract

“…Regardless of the location of LH or age of patient, symptoms, including abdominal pain, distention, nausea, and vomiting, make headway more gradually than those of other complicated hernias. Sometimes there is a bump next to the hernia site due to a local inflammatory response [ 6 , 7 , 10 ]. In strangulated HL, obstruction is not always present.…”

Section: Discussionmentioning

confidence: 99%