Its presentation as a giant Meckel’s diverticulum (>5 cm) is rare and is Publisher: El divertículo de Meckel corresponde a la persistencia. Intussusception secondary to Meckel’s diverticulum in a 3-month-old girl. Case reportInvaginación intestinal secundaria a diverticulo de Meckel en niña de 3. Int. J. Morphol., 25(3), CASE REPORT. Meckel’s Diverticulum. A Case Report. Divertículo de Meckel. Reporte de Caso. Sampath Madhyastha.

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Intestines Intestinal atresia Duodenal atresia Meckel’s diverticulum Hirschsprung’s disease Intestinal malrotation Dolichocolon Enteric duplication cyst. Treatment of a Meckel diverticulum complicated should diverticull be aimed at the surgical resection of the diverticulum.

[Giant Meckel’s diverticulum in an adult].

At laparotomy was identified large amount of enteral fluid in the cavity, small bowel loops swollen and distended. We fiverticulo respond to all feedback.

Lymphatic follicles were also observed in submucosa. There are studies of tumours lodging in the DM lumen, which may be benign, such as leiomyomas, angiomas, or neurofibromas, or malignant, such as leiomyosarcomas or carcinoid tumours 2.

Intestinal atresia Duodenal atresia Meckel’s diverticulum Hirschsprung’s disease Intestinal malrotation Dolichocolon Enteric duplication cyst. Diverticulitis can also cause adhesionsleading to intestinal obstruction. He had history of epilepsy and mental deficit. It is a remnant of the connection from the yolk sac to the small intestine present during embryonic development. Laparoscopic management of Meckel’s diverticulum in adults.

[Giant Meckel’s diverticulum in an adult].

Absence of gas meckell flatulance and feces over the same period. The surgical technique performed was diverticulectomy and enterorrhaphy in 37 patients Results A total of 45 patients aged between 0 and 68 years were operated on.

The embryological basis for the Meckel’s diverticulum is well known. Surgical treatment of Meckel’s diverticulum.


You can change the settings or obtain more information by clicking here. At dissection the following features were noted. Df enter a valid username and password and try again. Rev Esp Enferm Dig ; 9: The authors declare no conflict of interest. A Meckel’s diverticulum was found during routine dissection.

Postoperative complications were as follows: Thus, in cases of acute surgical abdomen, the diverticulum complicated Meckel should be considered. By using this site, you agree to the Terms of Use and Privacy Policy. Bleeding, for example, is the most common complication observed under 2 years old due to ulceration of the ileal mucosa adjacent caused viverticulo acid production by the diveritculo gastric mucosa.

Meckel’s diverticulum is the most prevalent congenital anomaly of the gastrointestinal tract. Many of the patients had no history of the condition and where it did exist, it was very varied, and no causal relationship could therefore be established. It presents itself as a small out pouching from the lower part of the ileum arising from the ante mesenteric border – the part of the intestine lying opposite the mesenteric attachment.

The diagnosis must be considered in any patient with unexplained abdominal pain, nausea, vomiting or gastrointestinal bleeding 5. It might ee completely asymptomatic or may mimic some disorders like Crohn’s disease, Appendicitis and peptic ulcer diseases.

The diagnosis of the Meckel’s diverticulum can be made by Technetium scan. A detailed description is as follows: The patient did well postoperatively, with no recurrent episodes of bleeding, and was discharged seven days after surgery. Charles Brunicardi, Dana K. Continuing navigation will be considered as acceptance of this use. Anomalies between the diverticulum and umbilicus may include the presence of fibrous cord, cystfistula or sinus, leading to: Anatomopathologically, DM is considered as a diverticulum, divertifulo it includes all layers of the intestinal wall.


Given the symptoms of active lower gastrointestinal bleeding or acute abdominal pain, and general malaise divertichlo fever, we are forced to rule out ddiverticulo acute diverticular disease and indicate emergency surgery if reasonable suspicion exists.

Se continuar a navegar, consideramos que aceita o seu uso. In 26 cases there was no previous suspicion of diverticular disease, while in 19 cases Meckel’s diverticulum was suspected due to initial symptoms.

Meckel’s diverticulum is much more frequent in children than in adults.

Ulcerated Meckel’s diverticulum | Gastroenterología y Hepatología

For less urgent cases, abdominal ultrasound and scintigraphy with Tc 99 although it has a high rate of false negatives are recommended, with the most sensitive and specific being vascular interventional X-ray, which is usually reserved. Loss 1Everson L. It is generally agreed that all symptomatic DM cases should be surgically treated, with the laparoscopic approach being the technique of choice In less acute cases, where the disease was suspected and it was possible to complete the study for a specific diagnosis, endoscopy, colonoscopy, scintigraphy with Tc 99 and arteriography were subsequently used Fig.

Meckel’s diverticulum; Peritonitis; Abdomen, acute source: Fibrous bands attached to the diverticulum often cause obstruction. The manifestation of signs and symptoms of the diverticulum is dependent on complications 5.

Therefore, it is important for clinicians to keep this entity in mind when looking at cases of gastrointestinal bleeding even in adults. Rectal examination revealed red blood in stools.