Multifaceted behavior of Meckel's diverticulum in children

Incidental Findings on Routine Histopathological Examination: Analysis of Pediatric Appendectomy Specimens

“…(21) 286 çocuk üzerinde yaptıkları bir çalışmada, 233 hastanın semptomatik olduğunu bunların 6'sının appendisit nedeni ile daha önce opere edildiğini ve kendi merkezlerinde ikinci operasyonu olduklarını göstermişlerdir. Burada akut abdomen tablosu en çok appendisit ön tanısı konularak operasyon yapılmasına yol açmaktadır (21) . Çünkü ağrı periumblikal başlayarak sağ alt kadrana lokalize olmaktadır.…”

Spontaneous perforation of Meckel’s diverticulum in an adult female with literature review

“…Spontaneous perforation due to diverticulitis is even less common, especially in older females [ 10 – 14 ]. A study by Chen et al concerning the behavior of MD in children showed only 7.3% of symptomatic MD was perforated [ 15 ]. Meanwhile, the Mayo Clinic reported 10–12% of symptomatic patients with perforation [ 16 ].…”

“…In an investigation of 600 MD patients, less than 50% were taken to the OR with a specific preoperative diagnosis, and only 5.7% of them were preoperatively diagnosed with MD [ 17 ]. In another study, 57.5% of patients were initially misdiagnosed, including 21.6% of patients misdiagnosed as appendicitis [ 15 ]. This study also included six patients who underwent appendectomy at another institution, and were subsequently transferred, and found to have a missed diagnosis of complicated MD [ 15 ].…”

“…In another study, 57.5% of patients were initially misdiagnosed, including 21.6% of patients misdiagnosed as appendicitis [ 15 ]. This study also included six patients who underwent appendectomy at another institution, and were subsequently transferred, and found to have a missed diagnosis of complicated MD [ 15 ]. In a study of perforated MD in adults, Ding et al found that 60% of patients were diagnosed with perforated appendicitis preoperatively, while only 13% were diagnosed with perforated MD [ 9 ].…”

Clinical manifestations of Meckel Diverticulum in children: a review of 11-years

“…Meckel's diverticulum (MD) is the most common congenital gastrointestinal malformation in children. [1][2][3] This develops as a result of incomplete obliteration of vitelline duct around the 5 th to 7 th weeks of gestation. Its incidence is estimated to be between 0,3% and 2,9% of the general population, however in most patients it's clinically silent and often an incidentally finding during surgery.…”