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The Journal of Emergency Medicine Jun 2014
Topics: Adult; Gastrointestinal Hemorrhage; Humans; Ileal Diseases; Intussusception; Male; Meckel Diverticulum
PubMed: 24686076
DOI: 10.1016/j.jemermed.2013.08.071 -
ANZ Journal of Surgery Sep 2021Meckel's diverticulum (MD) is the most common congenital malformation in the gastrointestinal tract. Limited up-to-date evidence is available regarding MD in pregnancy....
INTRODUCTION
Meckel's diverticulum (MD) is the most common congenital malformation in the gastrointestinal tract. Limited up-to-date evidence is available regarding MD in pregnancy. We aim to review the available pertinent literature to help support clinical decision making and patient management in the future.
MATERIALS AND METHODS
The search term 'Meckel's diverticulum' was combined with 'pregnant' or 'pregnancy'. Database searches of EMBASE, Medline and PubMed were conducted. All papers published in English from 01/01/1990 to 01/01/2021 were included. Simple statistical analysis (t-test) was performed.
RESULTS
Twenty-seven cases were included. Average age = 26.9 years. Average gestation = 25.1 weeks. Occurrence: first trimester = 3.7%; second trimester = 48.1% and third trimester = 48.1%. Presenting symptoms: abdominal pain 88.9%; nausea/vomiting 59.3%; fever 18.5%; abdominal distension 18.5%; haematochezia 11.1%; constipation 11.1%; haematemesis 3.7%, diarrhoea 3.7% and asymptomatic 3.7%. Mean duration of preceding symptoms = 3.4 days. Diagnostic imaging modalities utilised: ultrasound = 40.7%; CT = 25.9%; MRI = 14.8%; abdominal X-ray = 11.1% and endoscopy = 7.4%. All cases required definite surgical management: laparotomy = 65.4%; laparoscopy = 15.4%; C-section = 19.2% and unreported = 3.8%. Main intra-operative findings: perforated MD = 40.7%; intussusception with MD as a lead point = 11.1%; bleeding MD = 11.1%, inflamed MD = 11.1%; small bowel obstruction = 11.1%; gangrenous MD = 3.7%; volvulus = 3.7% and unspecified = 7.4%. Mean length from ileocolic junction = 51.7 cm. Average length of stay was 7.1 days. T-test (p-value = 0.12) when comparing management strategy. Three maternal complications and two foetal mortalities.
CONCLUSION
MD and associated pathology are difficult to diagnose in the pregnant cohort. Current imaging demonstrates low diagnostic accuracy and a deviation away from recognised nuclear medicine investigations. Surgery appears the definitive management with both open and laparoscopic approaches utilised. Significant maternal morbidity and foetal mortality are associated with this condition.
Topics: Adult; Female; Humans; Intestinal Perforation; Intussusception; Laparoscopy; Laparotomy; Meckel Diverticulum; Pregnancy
PubMed: 34152674
DOI: 10.1111/ans.17014 -
ANZ Journal of Surgery Jun 2022
Topics: Humans; Meckel Diverticulum; Neuroendocrine Tumors
PubMed: 35688637
DOI: 10.1111/ans.17596 -
Khirurgiia 2022Meckel's diverticulum is the most common congenital defect of the gastrointestinal tract. It is most often silent or asymptomatic. However, acute abdominal signs of...
Meckel's diverticulum is the most common congenital defect of the gastrointestinal tract. It is most often silent or asymptomatic. However, acute abdominal signs of obstruction, inflammation, hemorrhage and perforation are possible in other cases. Different foreign bodies can cause perforation of Meckel's diverticulum. We present an 18-year-old male who presented to the emergency department with abdominal pain within 48 previous hours. After evaluation, acute appendicitis was diagnosed and he underwent laparoscopic appendectomy. Meckel's diverticulum perforated by a fish bone was intraoperatively discovered. Incidental appendectomy and segmental resection of the ileum were performed.
Topics: Male; Animals; Meckel Diverticulum; Intestinal Perforation; Foreign Bodies; Abdominal Pain; Inflammation
PubMed: 36562677
DOI: 10.17116/hirurgia202212278 -
The American Journal of Gastroenterology Jun 2023
Topics: Humans; Meckel Diverticulum; Laparoscopy; Endoscopy, Gastrointestinal; Diverticulum
PubMed: 36689733
DOI: 10.14309/ajg.0000000000002141 -
JAAPA : Official Journal of the... Sep 2015Meckel diverticulum is an uncommon congenital abnormality of the gastrointestinal (GI) tract that usually remains asymptomatic throughout a patient's lifetime. However,... (Review)
Review
Meckel diverticulum is an uncommon congenital abnormality of the gastrointestinal (GI) tract that usually remains asymptomatic throughout a patient's lifetime. However, these diverticula can cause complications such as GI bleeding and small bowel obstruction; complications occur mostly in children and are rare in adults. This article reviews the presentation, complications, and treatment options for symptomatic and incidentally found Meckel diverticula.
Topics: Asymptomatic Diseases; Female; Humans; Incidental Findings; Meckel Diverticulum; Middle Aged
PubMed: 26302318
DOI: 10.1097/01.JAA.0000470434.61576.89 -
Journal of Pediatric Gastroenterology... Aug 2023
Topics: Male; Humans; Adolescent; Meckel Diverticulum; Diverticulum; Intussusception
PubMed: 37115951
DOI: 10.1097/MPG.0000000000003820 -
Rontgen-Blatter; Zeitschrift Fur... Mar 1990Meckel's diverticulum is the most common anomaly of the gastrointestinal tract. It is usually asymptomatic, but it can cause rectal bleeding and bowel obstruction in... (Review)
Review
Meckel's diverticulum is the most common anomaly of the gastrointestinal tract. It is usually asymptomatic, but it can cause rectal bleeding and bowel obstruction in both children and adults. Different investigative methods are used to diagnose Meckel's diverticulum. When a Meckel's diverticulum is suspected to cause rectal bleeding in children, the first choice of examination is the Meckel scan. Angiography is an alternative method in adults. Demonstration of a Meckel's diverticulum using barium meal examination is rare, but enteroclysis has been stated to be the most accurate method in detecting Meckel's diverticulum and other focal abnormalities of the small bowel.
Topics: Diagnosis, Differential; Humans; Meckel Diverticulum
PubMed: 2186470
DOI: No ID Found -
Lancet (London, England) Sep 1983
Topics: Age Factors; Humans; Meckel Diverticulum
PubMed: 6136836
DOI: No ID Found -
ANZ Journal of Surgery Jun 2021
Topics: Adult; Diverticulum; Humans; Ileal Diseases; Intussusception; Meckel Diverticulum
PubMed: 33074575
DOI: 10.1111/ans.16400