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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Pediatric Surgery, ed 7.

Divertículo de Meckel | Dallas Cardiovascular Specialists

Abdominal X-ray with air fluid levels in the small bowel and paucity of gas in the colon is very typical. If there is no evidence of strangulated hernia or bowel suffering, two thirds will be cured medically.

Meckel diverticulum with massive bleeding. In children, diagonstico bleeding is the most frequent clinical presentation [4], mainly due to the presence of heterotopic acid-secreting gastric mucosa in the diverticulum, although pancreatic, jejunal, and endometrial mucosa can also be found in the diverticulum [5]. Treatment of a Meckel diverticulum complicated should always be keckel at the surgical resection of the diverticulum. Atlas of surgical techniques for the upper GI tract and small bowel, ed 1.

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. Perforation is a rare complication may be caused by diverticulitis, trauma, ulceration, tumor or strange body 8.


Como citar este artigo. In conclusion, the rarity of the condition diverticulum perforated Meckel, combined with preoperative diagnosis unlikely that intestinal anomaly motivated this case report. The diverticulum complications are often related to the presence of ectopic mucosa, especially the gastric and pancreatic type. Initially, a fecaloid mass obstructs the diverticulum leading to inflammation, necrosis and eventual perforation.

Intestinal Obstruction by Giant Meckel’s Diverticulum.

Disclosure Statement The authors declare that there are no conflicts of interests in this article. Thus, in cases of acute surgical abdomen, the diverticulum complicated Meckel should be considered. Approaches for Meckel’s diverticulum depend on how we performed the diagnosis, it was incidental finding or due to the siagnostico of complications. In asymptomatic patients resection of the diverticulum or ileal segment that contains has been advocated in diverhiculo studies, in that strategies to determine the risk factors age, sex, diverticulum length proved ineffective in decision remove prophylactically or not the diverticulum.

Intestinal Obstruction by Giant Meckel’s Diverticulum.

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 Meckel’s diverticulum with diffuse inflammatory reaction and local drilling without ectopic mucosa findings.

Due to contamination of the wound and a psychomotor agitation framework presented by the patient, it was necessary new surgical approach on the fourth day due a partial dehiscence aponeurotic. Meckel diverticulectomy; in Champagne Diverticuloo ed: The abdomen had severe rigidity, decreased bowel sounds, pain on diffuse palpation and meckep maneuver sudden decompression.

Am J Gastroenterol ; A small bowel segmental resection was performed, containing the diverticulum. Small bowel obstruction; in Ferri F ed: This is a true diverticulum which is located on the anti-mesenteric border of the ileum, usually about cm ileocecal valve 3. Surgical exploration revealed an axially torsioned gangrenous Meeckel diverticulum MD. Therefore, the preoperative diagnosis is difficult and exceptional, since it is a rare condition that can mimic diagnositco causes of acute abdomen and presents nonspecifically in most imaging studies.


Divertículo de Meckel

Tan Y, Zheng Z. Foi proposta laparotomia exploradora. A year-old male with diabetes, dyslipidemia, and overweight presented to the Divrrticulo Department due to abdominal distension, vomitus, and epigastric pain which had started 16 diverticupo before. There was a worsening of pain intensity despite prescribed analgesia. Recurrent torsion of a giant Meckel’s diverticulum. No patient data appears in this article, and the patient authorized the submission and publication of this work.

The authors declare that there are no conflicts of interests in this article.

Meckel diverticulum; in Peter S ed: Complete blood count revealed leukocytosis important, not found electrolyte disturbances and serum amylase was within normal parameters. Complications of Meckel’s diverticula in adults. Resection of Meckel’s diverticulum was performed with certain degree of protection, the biopsy showed no remaining ectopic tissue. It results from incomplete involution of the most proximal portion of the omphalomesenteric duct during the week of fetal development 3.

J Indian Assoc Mckel Surg.