We present a case of Meckel diverticulitis in a boy of 7 years old, diagnosed by ultrasound and documented by surgery. We review the literature about the. Diagnóstico endoscópico de una invaginación por divertículo de Meckel. Article in Gastroenterology 34(9) · November with 3 Reads. El divertículo de Meckel se ha de considerar en el diagnóstico diferencial del dolor abdominal y la hemorragia digestiva baja, especialmente en la infancia.
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A small bowel segmental resection was performed, containing the diverticulum.
The abdomen had severe rigidity, decreased bowel sounds, pain on diffuse palpation and on maneuver sudden decompression. Dig Dis Sci ; Thus, in cases of acute surgical abdomen, dagnostico diverticulum complicated Meckel should be considered.
Clinical Case A year-old male with diabetes, dyslipidemia, and overweight presented to the Emergency Department due to abdominal distension, vomitus, and epigastric pain which had started 16 h before. In conclusion, the rarity of the condition diverticulum perforated Meckel, combined with preoperative diagnosis unlikely that intestinal anomaly motivated this case report.
In asymptomatic patients resection of the diverticulum or ileal segment that contains has been advocated in most studies, in that strategies to determine the risk factors age, sex, diverticulum length proved ineffective in decision remove prophylactically or not the diverticulum.
Clinically, he had a high intestinal obstruction without any mechanical cause on computed tomography scan. Treatment of a Meckel diverticulum complicated should always be aimed at the surgical resection of the diverticulum.
Intestinal Obstruction by Giant Meckel’s Diverticulum.
Diagnosis by computed tomography is cited in the literature as infrequent. The larger sample relate diverticula complications, in that the preoperative identification of this anomaly is infrequent bowel.
July 26, ; Accepted after revision: It is believed to be the enterectomy segment with end-to-end reconstruction the most appropriate conduct to ensure the complete removal of the diverticulum and ectopic mucosa at the base of the segment ileal Giant Meckel’s diverticulum torsioned. A median laparotomy was proposed. He was discharged on day 10 without further complications. Meckel diverticulum; in Peter S ed: Therefore, the preoperative diagnosis is difficult and exceptional, since it is a rare condition that can mimic other causes of acute abdomen and presents nonspecifically in most imaging studies.
Foi proposta laparotomia meckell. Philadelphia, Elsevier,p Meckel diverticulum with massive bleeding. There was a worsening of pain intensity despite prescribed analgesia. Atlas of surgical techniques for divertkculo upper GI tract and small bowel, ed 1.
Oclusão Intestinal por Divertículo de Meckel Gigante
Resection of Meckel’s diverticulum was performed with certain degree of protection, the biopsy showed no remaining ectopic tissue. Despite the rarity of this kind of hernia, symptoms are similar to the vast majority of causes of small bowel obstruction: This is a true diverticulum which is located on the anti-mesenteric border of the ileum, usually about cm ileocecal valve 3.
Axial torsion as a rare and unusual complication of a Meckel’s diverticulum: J Indian Med Assoc. It results from incomplete involution of the most proximal portion of the omphalomesenteric duct during the week of fetal development 3. No patient data appears diagnostioc this article, and the patient authorized the submission and publication of this work.
Como citar este artigo. J Am Coll Surg ; A case report and review of the literature. Diverticulo de Meckel torsionado con isquemia de asa intestinal. Disclosure Statement The authors declare that there are no conflicts of interests in this article.