Meckel’s diverticulum with benign stricture: A very rare cause of intestinal obstruction

Aggarwal, Lalit; Jain, Shubham; Dev, Rahul; Chaudhary, Lalita; Sharma, Deborshi

doi:10.1007/s12262-010-0085-5

Cited by 7 publications

(5 citation statements)

References 6 publications

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“…6 Preoperative diagnosis of Meckel's diverticulum is usually difficult to make as most patients are asymptomatic, however, few imaging modalities have been used for diagnosis. 8 Plain film of the abdomen may show dilated bowel loops and air-fluid levels, but these signs are usually nonspecific. Abdominal ultrasound may be able to demonstrate a fluid-filled structure in the right lower quadrant having the appearance of a tubular blind-ending, fluid-filled and thick-walled loop of intestine.…”

Section: Discussionmentioning

confidence: 99%

Meckel’s diverticulum: a rare cause of small bowel obstruction in an adult

et al. 2021

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Meckel’s diverticulum is the most common congenital abnormality of the gastrointestinal tract. Complications involving Meckel’s diverticulum include bleeding, bowel obstruction and inflammation. We present a rare case of small bowel obstruction caused by Meckel’s diverticulum. A 50-year-old male presented to the emergency department with abdominal pain and vomiting. Computed tomography (CT) abdomen showed dilated small bowel loops with transition zone at the mid ileum, consistent with small bowel obstruction. The patient was taken to the operating theatre for exploratory laparotomy and was found to have a Meckel’s diverticulum causing mechanical small bowel obstruction, which was resected with primary anastomosis. The patient recovered with no postoperative complications and was discharged home. Meckel’s diverticulum is difficult to diagnose preoperatively since most patients are asymptomatic and requires a high index of suspicion. In patients presenting with an acute abdomen, it may be overlooked because of nonspecific symptoms. In the case of small bowel obstruction, Meckel’s diverticulum should be kept in mind as part of the differential diagnosis.

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Section: Discussionmentioning

confidence: 99%

Meckel’s diverticulum: a rare cause of small bowel obstruction in an adult

et al. 2021

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“…Hemorrhage is most common below 2 years of age, while intestinal obstruction is a more common presentation among adults [12]. The vitelline duct is known to harbor heterotopic gastric mucosa (50%), pancreatic mucosa (5%), and, less commonly, colonic, endometrial, or hepatobiliary tissue which are mainly responsible for complications such as gastrointestinal bleeding (31%), inflammation (25%), bowel obstruction (16%), intussusception (11%), hernial involvement (11%), umbilical sinus or fistula (4%), and tumors (2%) [13]. …”

Section: Discussionmentioning

confidence: 99%

Mesodiverticular Band of Meckel's Diverticulum as a Rare Cause of Small Bowel Obstruction: Case Report and Review of the Literature

et al. 2013

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Background: Meckel's diverticulum, which was first described by Johann Friedrich Meckel, is a congenital anomaly. It results from incomplete obliteration of the most proximal portion of the vitelline or omphalomesenteric duct. Its prevalence is ranging from 1 to 4% of the population. The lifetime risk of complications is estimated at 4-6%. One of them is intestinal obstruction which is a more common presentation among adults. Mesodiverticular band, as presented in this case report, is a rare cause of small bowel obstruction in Meckel's diverticulum. Case Report: We report the case of a 17-year-old male who had intestinal obstruction caused by a mesodiverticular band of Meckel's diverticulum. He presented with severe abdominal pain, nausea, and vomiting. The established diagnosis was mechanical intestinal obstruction. Laparotomy revealed an internal herniation and obstruction caused by a mesodiverticular band of Meckel's diverticulum. There was no evidence of necrosis or ischemia. The mesodiverticular band was released from the ileal mesentery and the Meckel's diverticulum was resected. The postoperative period was uneventful and the patient was discharged after 6 days. Conclusion: The incidence of an internal hernia caused by a mesodiverticular band of Meckel's diverticulum is rare. It may be overlooked in the case of intestinal obstruction because of nonspecific symptoms. Delay in the diagnosis can lead to significant morbidity and mortality. In the case of small bowel obstruction, Meckel's diverticulum should therefore be kept in mind.

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“…De este total, el tejido ectópico se divide en gástrico (60-85%), pancreático (5-16%) y de forma menos común hepatobiliar, duodenal, endometrial, entre otros 4 . Por todo lo anterior, es que el DM se considera un divertículo verdadero, puesto que posee todas las capas normales del intestino delgado (lumen, mucosa, submucosa, muscular y serosa), y ser susceptible de complicaciones por la presencia de estos tejidos heterotópicos, especialmente el gástrico, que puede llevar a la ulceración y provocar una hemorragia digestiva baja en pacientes pediátricos, en cifras cercanas a 20-30% de los casos sintomáticos 11 . Otras posibles complicaciones asociadas son la inflamación del divertículo, obstrucción intestinal, herniación, perforación, intususcepción, presencia de tumores mucosos como el adenocarcinoma, entre otros 4 .…”

Section: Embriología Y Fisiopatologíaunclassified

Divertículo de Meckel y sus complicaciones.

Sandoval Silva,

Toro-Pérez,

Pohl Vollmer

et al. 2024

Rev Cir.

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El divertículo de Meckel es la malformación gastrointestinal congénita más frecuente y se produce por la involución parcial o total del conducto onfalomesentérico durante el desarrollo embrionario, resultando en un divertículo verdadero, puesto que contiene todas las capas del intestino delgado. Posee una incidencia de 0,6-4% en la población general y corresponde a la principal causa de hemorragia digestiva baja en pacientes pediátricos. Mayoritariamente permanece asintomático hasta la adultez, pudiendo presentar cuadros clínicos sugerentes de apendicitis aguda, obstrucción intestinal y hemorragia digestiva baja. El hallazgo del divertículo suele ser incidental y posee solo un 4-6% de las ocasiones se encuentra como estudio dirigido de esta anormalidad. Existen múltiples estudios diagnósticos disponibles, pasando por la tomografía computarizada (TC), cintigrafía con pertecnetato de Tecnecio-99m (Tc-99m), videocápsula endoscópica y la laparoscopía/laparotomía. El manejo del divertículo de Meckel es quirúrgico especialmente debido a sus múltiples complicaciones, siendo detalladas en el presente artículo. El uso de técnicas mínimamente invasivas y las mejores tecnologías y métodos de detección han permitido disminuir la mortalidad de las complicaciones del divertículo de Meckel. Finalmente, esta patología supone un reto para cualquier especialista, puesto que la baja incidencia y cuadro similar a enfermedades diverticulares propone un mayor reto tanto en el diagnóstico como en el manejo.

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Meckel’s diverticulum with benign stricture: A very rare cause of intestinal obstruction

Cited by 7 publications

References 6 publications

Meckel’s diverticulum: a rare cause of small bowel obstruction in an adult

Meckel’s diverticulum: a rare cause of small bowel obstruction in an adult

Mesodiverticular Band of Meckel's Diverticulum as a Rare Cause of Small Bowel Obstruction: Case Report and Review of the Literature

Divertículo de Meckel y sus complicaciones.

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