Symptomatic Meckel’s Diverticulum in Newborn

Bertozzi, Mirko; Melissa, Berardino; Radicioni, Maurizio; Magrini, Elisa; Appignani, Antonino

doi:10.1097/pec.0b013e3182a315e5

Cited by 24 publications

(8 citation statements)

References 20 publications

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“…13 In our case, mild alkalosis was found in the blood gas analysis. Incidence of perforated MD in neonates is very rare and this case is the first report from our country.…”

Section: Discussionsupporting

confidence: 45%

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

Frooghi¹,

Bahador²,

Golchini³

et al. 2016

Middle East J Dig Dis

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Perforation of Meckel’s diverticulum is a rare complication in neonatal period. A 3-dayold term male neonate was transferred to our emergency room due to bowel perforation. Surgical exploration was done and perforated Meckel’s diverticulum was detected. Pathological report of the tissue showed inflamed diverticulum with heterotopic gastric mucosa. This is the first report of Meckel’s diverticulum perforation in a neonate in our country

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“…13 In our case, mild alkalosis was found in the blood gas analysis. Incidence of perforated MD in neonates is very rare and this case is the first report from our country.…”

Section: Discussionsupporting

confidence: 45%

“…In the study by Bertozzi and colleagues bowel obstruction (58.3%) and pneumoperitoneum (33.3%) were the most common clinical manifestations of symptomatic MD among neonates . 13 …”

Section: Discussionmentioning

confidence: 99%

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

Frooghi¹,

Bahador²,

Golchini³

et al. 2016

Middle East J Dig Dis

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“…[ 6 ] These anomalies may range from POMD to the more common Meckel's diverticulum. Omphalomesenteric duct malformations may become symptomatic at any age, [ 7 ] and the common symptoms include abdominal pain, intestinal bleeding, intestinal obstruction, umbilical drainage, and umbilical hernia. Infections and tumors are the two main complications of urachal anomalies.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonographic diagnosis and minimally invasive treatment of a patent urachus associated with a patent omphalomesenteric duct in a newborn

Bertozzi

Recchia²,

Cara³

et al. 2017

Medicine

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Rational:Patent urachus (PU) is due to an incomplete obliteration of the urachus, whereas patent omphalomesenteric duct (POMD) is due to an incomplete obliteration of the vitelline duct. These anomalies are very rarely associated with one another. We describe a case of a newborn with a PU associated with a POMD, who was diagnosed by an abdominal ultrasound (US) and laparoscopy, and managed with a minimally invasive excision.Patient concern:A 28-day-old male neonate was referred to our hospital to investigate a delay in umbilical healing, with blood-mucinous material spillage for 3 weeks prior to the referral. The baby had no symptoms and was in good general health.Diagnosis:After a thorough cleaning of the umbilical stump, a clear granuloma with a suspected fistula was evident under the seat of the ligature of the stump. An abdominal US examination revealed the formation of a full communication, starting below the umbilical stump and developing along the anterior abdominal wall that connected with the bladder dome. The US also revealed a tubular formation containing air, which was compatible with POMD, in the deepest portion of the same umbilical stump. Considering these findings, the rare diagnosis of a PU associated with a POMD duct was suspected.Interventions:The child was then hospitalized for an elective laparoscopy that confirmed the US picture, and a minimally invasive excision was performed.Outcome:The postoperative course was favorable and uneventful.Lessons:Our case underlines the importance of evaluating all persisting umbilical lesions without delay when conventional pharmacological therapies fail. Using a US as the first approach is valuable and should be supported by laparoscopy to confirm the diagnosis; a minimally invasive excision of the remnants appears to be an effective therapeutic approach.

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“…Tt is the most common malformation of the gastrointestinal tract and is present in approximately 2% of the population [1]. Most of these are asymptomatic and occur during childhood in the first two years of life, with a male-to-female ratio of 2:1 [2].…”

Section: Discussionmentioning

confidence: 99%

“…Routine thoraco abdominal radiograph taken 10 h after birth showed none expanded stomach and a dilated intestinal loop beneath the liver edge. Therefore, he was treated in nil-by-mouth status and was supplied with intravenous fluid [1][2][3][4][5]. Clinically the abdomen was progressively distended but palpated softly without tenderness.…”

Section: Casementioning

confidence: 99%