Perforated Meckel’s Diverticulum in a 3-day-old Neonate; A Case Report

Frooghi, Mehdi; Bahador, Abbas; Golchini, Alireza; Haghighat, Mahmood; Ataollahi, Maryam; Javaherizadeh, Hazhir

doi:10.15171/mejdd.2016.43

Cited by 4 publications

(4 citation statements)

References 12 publications

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“…12 According to previous studies, bowel obstruction was the most common presentation in term infants with perforated MD, which suggested that rupture of the thin diverticulum due to high pressure within lumen may play a vital role in the development of perforated MD in neonatal period. 9,13 Of note, ectopic tissue appeared not to be the major cause of perforation of MD in VLBW neonates as displayed in Table I. 7,[9][10][11] Hypoxia, inadequate blood supply, permeability of the intestine, and early use of postnatal steroid and indomethacin are thought to increase the risk of spontaneous intestinal perforation (SIP), but the potential roles have not been 14,15 It is yet to be investigated whether these factors predisposed MD to perforation in premature neonates.…”

Section: Discussionmentioning

confidence: 99%

Perforation of Meckel`s diverticulum in a very low birth weight neonate with severe pneumoperitoneum and review of literature

Wang¹,

Wang²,

Xia³

et al. 2019

Turk J Pediatr

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Perforation is a rare complication of Meckel's diverticulum (MD), but it could be severe, even life-threatening for pediatric patients. There is a paucity of data on etiology of perforation, as well as clinical manifestations, management and prognosis in very low birth weight (VLBW) neonates with perforated MD. We report a rare case of spontaneously perforated MD in a VLBW neonate presenting with severe pneumoperitoneum. To our knowledge, this is one of the earliest reported VLBW cases with this rare complication. Furthermore, we review relevant publications and summarize major characteristics of all VLBW cases previously reported in order to provide some practical experience and interesting issues for pediatricians. Perforated MD should be kept in mind when VLBW neonates present with pneumoperitoneum.

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Section: Discussionmentioning

confidence: 99%

Perforation of Meckel`s diverticulum in a very low birth weight neonate with severe pneumoperitoneum and review of literature

Wang¹,

Wang²,

Xia³

et al. 2019

Turk J Pediatr

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“…Дивертикул Меккеля відноситься до справжніх дивертикулів, так як його стінка містить усі шари, які виявляються у нормальній кишці [6]. Деякі автори вказують, що дивертикул у 15-62% містить гетеротопічні тканини [7,16,18]. Однак, при безсимптомному перебігу дивертикула гетеротопічна тканина у його стінці міститься значно рідше -від 0% до 18,2% [9].…”

Section: вступunclassified

“…Розміщення дивертикулу Меккеля по ходу тонкої кишки є доволі різноманітним. Більшість авторів вказують, що він найчастіше (у 95,8% пацієнтів) локалізується на відстані 20-100 см від ілеоцекального з'єднання [3,7,15,17,19].…”

Section: вступunclassified

The Features of Clinical Course, Diagnosis and Treatment of Littre's Hernia

Lyakhovskyi¹,

Dudchenko²,

Horodova-Andrieieva³

et al. 2022

Med. and Ecol. probl.

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Among the complications of Meckel's diverticulum, which are rare, it is necessary to note Littre's hernia – the strangulation in the external abdominal hernia and its location in the hernia’s sac. Meckel's diverticulum is a protrusion of the wall of the ileum, which is formed as a result of incomplete obliteration of the bile duct, which is involved in embryotrophy. It occurs most often in inguinal and femoral hernias. This pathology is rarely observed in clinical practice, therefore, we present the clinical case of Littre's hernia. The aim of this research is to describe the features of the clinical course, diagnosis, and treatment of Littre's hernia, as well as to draw attention to the existence of such a disease. Clinical case. Patient V., born in 1960, was urgently admitted to the surgical department on January 19, 2022, with a diagnosis of “Strangulation of the left inguinal hernia”. On admission, he complained of acute pain in the protrusive area of the left inguinal zone. From the anamnesis: he had felt acute symptoms about two hours before admission. He had been noticing a bulge in the left inguinal area for 20 years. The patient was examined at the department and urgently operated on under spinal anesthesia. We conducted the resection of Meckel's diverticulum with allohernioplasty by Lichtenstein on the left. Postoperative diagnosis: strangulated left-sided inguinal hernia with strangulation of Meckel's diverticulum of the small intestine (Littre's hernia). The course of the postoperative period was uneventful. He was discharged from the hospital on the 7th day in satisfactory condition. At the time of discharge, the postoperative wound healed with primary tension. The patient was examined after 2 months: there were complaints of minor pain in the area of the postoperative wound during physical activity. The postoperative scar is in satisfactory condition. Thus, Littre's hernia is a rare surgical disease and is subject to urgent surgical treatment. At the same time, the scope of surgical treatment is determined during the operation and assessment of the condition of the intestine and diverticulum.

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“…It is more frequent in the elderly with history of constipation and older than 60 years of age [ 1 – 4 ]. There are studies that showed perforated Meckel diverticulum in a 3-day-old neonate and a 9-year-old female patient with perforated Crohn’s disease [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous rectosigmoid perforation at the watershed area of the Sudeck point in an apparently healthy toddler boy: a case report

Solomon,

Habte,

Alemu

et al. 2023

J Med Case Reports

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Background Spontaneous colon perforation can be classified into stercoral and idiopathic. Stercoral type is associated with chronic constipation, thus it is rare in infants and children. The idiopathic type is sporadic and could occur at any age. Delay in diagnosing or treating idiopathic colon perforation is associated with high mortality and morbidity rates. There are few studies on rectal perforation related to other etiologies or past the neonatal period, and their effect on disease onset and prognosis are unknown. Case presentation We report on a case of 2-year-and-5-month-old Oromo boy who presented with fever, diarrhea, vomiting, and progressive abdominal pain of 5-day duration. The boy underwent an exploratory laparotomy for suspected peritonitis and there was a single perforation of approximately 2.0 cm size in the anterior part of the upper one-third of rectum. The perforated rectum was repaired primarily and sigmoid divided diversion colostomy was carried out. Conclusion It is important to be aware of idiopathic colon perforation in children, a rare but dangerous condition with high mortality and morbidity in cases of delayed diagnosis or management. Pediatricians and surgeons should consider colon perforation as a cause in children who present with abdominal distention and a history of diarrhea for more than 5 days.

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Perforated Meckel’s Diverticulum in a 3-day-old Neonate; A Case Report

Cited by 4 publications

References 12 publications

Perforation of Meckel`s diverticulum in a very low birth weight neonate with severe pneumoperitoneum and review of literature

Perforation of Meckel`s diverticulum in a very low birth weight neonate with severe pneumoperitoneum and review of literature

The Features of Clinical Course, Diagnosis and Treatment of Littre's Hernia

Spontaneous rectosigmoid perforation at the watershed area of the Sudeck point in an apparently healthy toddler boy: a case report

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