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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It results from incomplete involution of the most proximal portion of the omphalomesenteric duct during the week of fetal development 3. Found a Meckel’s diverticulum drilled in antimesenteric border of the terminal ileum, 60 cm from the ileocecal valve Figura 1Figura 2 and Figura 3. Complete blood count revealed leukocytosis important, not found electrolyte disturbances and serum amylase was within normal parameters.
Intestinal Obstruction by Giant Meckel’s Diverticulum.
The larger sample relate diverticula complications, in that the preoperative identification of this anomaly is infrequent bowel. July 26, ; Accepted after revision: Clinically, he had a high intestinal obstruction without any mechanical cause on computed tomography scan.
Philadelphia, Elsevier,p Current Surgical Therapy, ed Due to diverticulum’s symptoms arise usually in complication’s development, carriers usually remained asymptomatic throughout their lives.
Perforation is a rare complication may be caused by diverticulitis, trauma, ulceration, tumor or strange body 8. Intestinal duplications, Meckel diverticulum, and other remnants of the omphalomesenteric duct; in Behrman R, ed: Meckel diverticulum with massive bleeding. They are specific to each age group. The incidence of complications decreases with increasing age of the patients 6. J Gastrointest Liver Dis ; Operatory findings were an internal small bowel hernia Fig.
Foi proposta laparotomia exploradora.
Intestinal Obstruction by Giant Meckel’s Diverticulum.
Burjonrappa S, Khaing P. A case report and review of the literature. The diagnosis is not only clinical but also confirmed by imaging exams . J Indian Assoc Pediatr Surg. Meckel’s diverticulum with diffuse inflammatory reaction and local drilling without ectopic mucosa findings. The MD was resected including the 5 cm surrounding intestinal loop, also ischemic, and an end-to end manual anastomosis was performed.
Meckel diverticulum; in Peter S ed: Como citar este artigo.
This patient was referred to the operating room and underwent bowel resection segment encompassing the area of the diverticulum and terminoterminal primary enteroanastomosis on two levels with good evolution. It was held segmentary enterectomy encompassing the area of divertculo diverticulum and terminoterminal primary enteroanastomosis in two planes.
Abdominal X-ray with air fluid levels in the small bowel and paucity of gas in the colon is very typical.
Preliminary meckwl showed abdominal distension painfull in upper quadrants, which was severe and associated to tenderness in epigastric region. J Am Coll Surg ; The diverticulum complications are often related to the presence of ectopic mucosa, especially the gastric and pancreatic type.
At laparotomy was identified large amount of enteral fluid in the cavity, small bowel loops swollen and distended. This work received no contributions, subsidy, or bourse.
Divertículo de Meckel
In adults, intestinal obstruction is more common clinical presentation, from intussusception mechanisms, volvo, enterocolitos or fitobezoares. MD is found on the anti-mesenteric border of the ileum, located within 90 cm of the ileocecal valve.
In this case, the chosen treatment showed good results. Therefore, the preoperative diagnosis is difficult and exceptional, since it msckel a rare condition that can mimic other causes of acute abdomen and presents nonspecifically in most imaging studies.
Meckel’s diverticulum; Peritonitis; Abdomen, acute source: We conclude that in cases of acute abdomen punctured, the diagnosis of Meckel’s diverticulum should be considered. Approaches for Meckel’s diverticulum depend on how we performed the diagnosis, it was incidental finding or due to the presence of complications.
Absence of gas elimination flatulance and feces over the same period. Meckel diverticulectomy; in Champagne B ed: Blood analyses hemogram, amylase, lipase, cardiac enzymes, and C-reactive protein were within normal values. The management of diverticulosis of the small bowel; in DeFrancesco K ed: More rarely, Meckel’s diverticulum can be pierced by foreign bodies 9. Resection of Meckel’s diverticulum was performed with certain degree of protection, the biopsy showed no remaining ectopic tissue.
Mcekel authors preferred the resection of intestinal loop containing the MD, although other performed a simple diverticulectomy. The pathologic report described transmural ischemia and hemorrhage diagnosticp the intestinal mucosa, which was unable to determine the presence of ectopic tissue.
Spanish Health Illustrated Encyclopedia – Divertículo de Meckel – Serie
Histology revealed a cm long Meckel’s diverticulum with no heterotopic mucosa. 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 Surgical resection of the affected intestinal segment is the mainstay of treatment in both diverticula diagnosed incidentally, as the complicated by inflammation, bleeding, obstruction or perforation.
The exploration of the abdominal cavity revealed no other relevant findings. Initially, a fecaloid mass obstructs the diverticulum leading to inflammation, necrosis and eventual perforation. Small bowel obstruction; in Ferri F ed: No patient data appears in this article, and the patient authorized the submission and publication of idagnostico work. He had history of epilepsy and mental deficit.
And the risk of complications is 4.