-
British Medical Journal May 1958
Topics: Hernia; Humans; Meckel Diverticulum
PubMed: 13536445
DOI: 10.1136/bmj.1.5080.1154 -
The Turkish Journal of Gastroenterology... 2013
Topics: Abdominal Pain; Appendicitis; Child; Humans; Incidental Findings; Male; Meckel Diverticulum; Mesentery
PubMed: 23934471
DOI: 10.4318/tjg.2013.0477 -
Journal of Pediatric Gastroenterology... Apr 2014
Topics: Colonoscopy; Gastrointestinal Hemorrhage; Humans; Ileal Diseases; Infant; Intestinal Polyps; Intussusception; Male; Meckel Diverticulum
PubMed: 24445505
DOI: 10.1097/MPG.0000000000000304 -
Journal of Pediatric Surgery Sep 2021Meckel diverticulum (MD) is present in 2% of the population. Many practitioner feel the diagnosis relies upon technetium-99 m pertechnetate scintigraphy. When negative,...
BACKGROUND/PURPOSE
Meckel diverticulum (MD) is present in 2% of the population. Many practitioner feel the diagnosis relies upon technetium-99 m pertechnetate scintigraphy. When negative, patients undergo additional invasive procedures delaying definitive therapy. This study aims to identify features of bleeding MD and generate a risk score, which could preclude unnecessary testing and facilitate earlier operation.
METHODS
All patients <18-years-old who presented with hematochezia from 2005 to 2015 were identified. MD diagnosis was based on histopathology of operative tissue. Controls were patients with hematochezia undergoing colonoscopy. A points system was used generate a risk score.
RESULTS
A total of 215 patients presented with hematochezia out of which 42 patients with MD were identified. Predictive variables included infant (OR 7, 95%CI 2-29) and toddler (OR 20, 95%CI 8-50) age groups, duration <6 days (OR 18, 95%CI 8-43), presence of large blood volume (OR 16, 95% CI 7-36), hemoglobin <7 g/dL (OR 6, 95% CI 3-15) and transfusion requirement (OR 16, 95% CI 7-38). A score of 6 or higher is highly suggestive of MD.
CONCLUSIONS
This scoring system identifies children with bleeding MD who may benefit from exploratory surgery without undergoing endoscopy. This novel scoring system can be applied to provide accurate clinical diagnosis, reduce unnecessary tests and allow prompt surgical management.
Topics: Adolescent; Colonoscopy; Gastrointestinal Hemorrhage; Hemoglobins; Humans; Infant; Meckel Diverticulum; Radionuclide Imaging
PubMed: 33422327
DOI: 10.1016/j.jpedsurg.2020.12.013 -
Medicine Sep 2018Complicated Meckel's diverticulum represents a common etiology of acute abdomen in children. However, this condition is less frequent in adults. We reviewed the records...
Complicated Meckel's diverticulum represents a common etiology of acute abdomen in children. However, this condition is less frequent in adults. We reviewed the records of adult patients who underwent the surgical removal of complicated Meckel's diverticulum between 2001 and 2017 at 2 tertiary French medical centers. We then analyzed the clinical characteristics, mode of presentation, and management for all patients.The Meckel's diverticulum was resected in 37 patients (24 males and 13 females). The mean patient age was 46.1 ± 21.4 years. The most common clinical presentations of complicated Meckel's diverticulum were diverticulitis (35.1%, n = 13), small-bowel obstruction (35.1%, n = 13), and gastrointestinal bleeding (29.8%, n = 11) (anemia, n = 1; hematochezia, n = 10). Age distribution was significantly different (P = .02) according to the 3 Meckel's diverticulum complications: patients with diverticulitis (P = .02) were statistically more frequently over 40 (P = .05), significantly older than patients with gastrointestinal bleeding who were more frequently <40 (P = .05). There was a preoperative diagnosis available for 15 of the 37 patients (40%). An exploratory laparoscopy was necessary to determine the cause of disease for the other 22 patients (60%). An intestinal resection was performed in 33 patients (89%) and diverticulectomy was performed in 4 patients (11%). There was heterotopic tissue found in only 6 patients (16%). Postoperative complications were as follows: 1 death by cardiac failure in a 92-year-old patient and 2 patients with postoperative wound infections. The follow-up time was 3 to 12 months.The correct diagnosis of complicated Meckel's diverticulum in adults is difficult due to the lack of specific clinical presentation. As a result, exploratory laparoscopy appears to play a central role in cases of acute abdomen with uncertain diagnosis.
Topics: Abdomen, Acute; Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; Diverticulitis; Female; Gastrointestinal Hemorrhage; Humans; Intestinal Obstruction; Intestine, Small; Laparoscopy; Male; Meckel Diverticulum; Middle Aged; Retrospective Studies; Risk Factors; Young Adult
PubMed: 30235734
DOI: 10.1097/MD.0000000000012457 -
Balkan Medical Journal Apr 2020
Topics: Child, Preschool; Female; Humans; Intestinal Obstruction; Meckel Diverticulum
PubMed: 31937023
DOI: 10.4274/balkanmedj.galenos.2020.2019.11.23 -
Internal Medicine (Tokyo, Japan) 2011
Topics: Endoscopy, Gastrointestinal; Humans; Male; Meckel Diverticulum; Middle Aged
PubMed: 21498946
DOI: 10.2169/internalmedicine.50.5128 -
Chirurgia (Bucharest, Romania : 1990) 2018Meckel's diverticulum is a congenital anomaly which can become complicated or remain asymptomatic throughout life. During pregnancy, however, diverticulum infection...
Meckel's diverticulum is a congenital anomaly which can become complicated or remain asymptomatic throughout life. During pregnancy, however, diverticulum infection could become a serious complication. Diverticulum necrosis and perforation are complications that increase morbidity in pregnancy, both maternal and fetal. The rarity of the condition and the maternal physiological changes in pregnancy make the diagnosis difficult. We present the case of a Meckel's diverticulum gangrene in third trimester pregnancy, atypical case due to advanced pregnancy where the risk-benefit balance was carefully evaluated on one hand because of the risk of infection associated with expectant management and on the other hand the risk and complications of iatrogenic preterm premature birth. The outcome was favorable for both mother and newborn.
Topics: Adult; Cesarean Section; Female; Humans; Infarction; Meckel Diverticulum; Pregnancy; Pregnancy Complications; Pregnancy Trimester, Third; Torsion Abnormality; Treatment Outcome
PubMed: 29733021
DOI: 10.21614/chirurgia.113.2.266 -
International Journal of Surgery Case... Apr 2024Bezoars are a known cause of complications in Meckel's diverticulum. We present a case in which a bezoar in a Meckel's diverticulum resulted in intestinal obstruction....
INTRODUCTION
Bezoars are a known cause of complications in Meckel's diverticulum. We present a case in which a bezoar in a Meckel's diverticulum resulted in intestinal obstruction. In addition, we conducted a narrative review to explore the association between Meckel's diverticulum and bezoars.
CASE PRESENTATION
We present the case of a 22-year-old patient admitted for bowel obstruction persisting for three days and periumbilical tenderness. Abdominal CT tomography revealed a hyper dense circular structure with a diameter of 2 cm, small bowel distension of 41 mm, and free fluid. During surgical exploration, a Meckel diverticulum was found between the antimesenteric border of the small bowel and posterior wall of the umbilicus. The Meckel diverticulum was resected, and upon examination, it was found to contain a calcified phytobezoar. The postoperative course was uneventful.
DISCUSSION
The clinical and paraclinical presentation of bezoars in Meckel's diverticulum is nonspecific and diagnosis remains challenging despite improved diagnostic modalities. The association between Meckel's diverticulum and bezoars is often identified during surgery, as it is difficult to diagnose using CT scans. The choice between laparoscopic and open surgery depends on the patient's situation.
CONCLUSION
Diagnosing a bezoar in a Meckel's diverticulum remains challenging. Treatment involves surgery, and the choice of surgical approach depends on the context.
PubMed: 38471214
DOI: 10.1016/j.ijscr.2024.109512 -
World Journal of Gastroenterology Sep 2011To analyse the possible association of various Helicobacter species and certain common gut bacteria in patients with Meckel's diverticulum and appendicitis.
AIM
To analyse the possible association of various Helicobacter species and certain common gut bacteria in patients with Meckel's diverticulum and appendicitis.
METHODS
A nested-polymerase chain reaction (PCR), specific to 16S rRNA of the Helicobacter genus, was performed on paraffin embedded samples, 50 with acute appendicitis, 50 normal appendixes, and 33 Meckel's diverticulum with gastric heterotopia and/or ulcer. Helicobacter genus positive samples were sequenced for species identification. All samples were also analysed for certain gut bacteria by PCR.
RESULTS
Helicobacter pullorum DNA was found in one out of 33 cases and Enterobacteria in two cases of Meckel's diverticulum. Helicobacter pylori (H. pylori) was found in three, Enterobacter in 18, and Bacteroides in 19 out of 100 appendix samples by PCR. Enterococcus was not found in any MD or appendix samples. All H. pylori positive cases were from normal appendixes.
CONCLUSION
Helicobacter is not an etiological agent in the pathogenesis of symptomatic Meckel's diverticulum or in acute appendicitis.
Topics: Adolescent; Adult; Aged; Appendicitis; Appendix; Bacteroides; Child; Child, Preschool; DNA, Bacterial; Enterobacter; Female; Helicobacter; Humans; Infant; Male; Meckel Diverticulum; Middle Aged; Polymerase Chain Reaction; Young Adult
PubMed: 22039324
DOI: 10.3748/wjg.v17.i36.4104