Traumatic rupture of Meckel's diverticulum secondary to handle bar injury

Almatrfi, Ameera; Nassan, Safi; Yousef, Yasmin

doi:10.1016/j.epsc.2020.101387

Cited by 1 publication

(4 citation statements)

References 9 publications

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“…Almatri et al show that increased intra-abdominal pressure is transmitted to the intestinal lumen. They note that, while the base of the diverticulum is wide enough to allow the flow of intestinal contents, it is nevertheless smaller than the diameter of the intestine; this increases the pressure in the diverticulum, resulting in its rupture [ 30 ]. Park and Lucas propose that such impact causes a rapid increase in pressure in the lumen of the intestine as a closed-loop phenomenon, with the diverticulum as the weakest point [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…The mechanism of MD injury after blunt trauma associated with strong abdominal compression is confirmed in the analyzed material. In four cases, the person hit the bicycle handlebar [ 14 , 19 , 30 , 32 ]. Two people in cars were held by seat belts [ 10 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Referring to damage to the small intestine after blunt trauma, it has been proposed that such shearing forces are generated by sudden deceleration or acceleration, e.g., in a fall from a height or in a traffic accident; in such cases, a sudden stop causes the intestine to move forward, while the constant (fixed) points such as the duodenojejunal flexure and ileocaecal junction take the force and are torn away [ 32 ]. In contrast, Almatrfi et al report that rupture of the MD after blunt abdominal trauma is rare because it is not attached to the ligaments or mesentery, and acceleration or deceleration injury is not expected in such cases [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

“…Several possible mechanisms may contribute to post-traumatic damage to Meckel's diverticulum (MD), particularly its perforation. Some authors propose that post-traumatic perforation of MD may be caused by increased pressure [9,10,15,29,30,32], the transfer of a sudden increase in intra-abdominal pressure to the intestinal lumen [30], or intra-abdominal pressure [29]; however, one study fails to specify the nature of the pressure increase [9]. In our opinion, MD rupture may be caused by increased intra-abdominal pressure alone, without any accompanying increase in pressure in the intestinal lumen.…”

Section: Discussionmentioning

confidence: 99%

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Meckel’s Diverticulum Injuries after Blunt Trauma

Arkuszewski,

Kłosiński,

Kawa

et al. 2024

JCM

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Background: The complications associated with Meckel’s diverticulum (MD) are well-known. However, blunt injuries regarding MD have not been widely described in the literature. This was the reason for undertaking research on MD lesions. Materials and Methods: The materials consisted of 28 cases of damage to MD after blunt trauma published during the years 1921–2022. The collected data were subjected to statistical analysis. Results: The following MD injuries have been identified, starting with the most common isolated perforation of MD, bleeding from the area of MD, perforation of MD with concomitant tearing of the mesentery intestines and bleeding, intussusception of MD, and intramural hematoma of MD with adjacent mesenteric hematoma. Most injuries were caused by a traffic accident, followed by sports, accidents at work, and then violence. Almost all the cases (27) involved men. Several possible mechanisms may contribute to post-traumatic damage to MD. First of all, they are associated with abdominal compression and a secondary increase in intra-abdominal pressure as well as with the action of shearing forces during deceleration. Conclusions: Traumatic MD injuries are differentiated and very rare. They can coexist with other serious injuries to the abdominal organs.

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Section: Discussionmentioning

confidence: 99%