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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Divertículo de Meckel
Thus, in cases of acute surgical abdomen, the diverticulum complicated Meckel should be considered. Axial torsion as a rare and unusual complication of a Meckel’s diverticulum: Although, when computed tomography is unavailable and when X-ray and clinical findings are nondiagnostic, enteroclysis can give diagnostic and prognostic information.
Resection of Meckel’s diverticulum was performed with certain degree of protection, the biopsy showed no remaining ectopic tissue.
In the other one third, surgical therapy is mandatory . The procedures followed comply with the ethical standards of the human experimentation committee responsible and are in accordance with the World Medical Association and the Declaration of Helsinki.
This is a true diverticulum which is located on the anti-mesenteric border of the ileum, usually about cm ileocecal valve 3. MD torsion can produce severe vascular obstruction and secondary diverticular gangrene 9diverticuo despite being a rare entity, this should be considered in divertidulo differential diagnosis of patients with clinical symptoms of acute abdomen.
The diverticulum complications are often related to the presence dkagnostico ectopic mucosa, especially the gastric and pancreatic type. If there is no evidence of strangulated hernia or bowel suffering, two thirds will be diverticlo medically. 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.
This last has less complication rates in relation to wound infection, mechanical ileus or stenosis 8.
The optimal surgical approach is on debate. J Divertiulo Coll Surg ; Tan Y, Zheng Z. In this case, the chosen treatment showed good results.
Oclusão Intestinal por Divertículo de Meckel Gigante
Although this complication has been reported, to the best of our knowledge this extreme size of MD has not been described previously, and that caused the atypical presentation.
Early diagnosis and surgical treatment lead to the successful outcome. Seth A, Seth J. The larger sample relate diverticula complications, in that the preoperative identification of this anomaly is infrequent bowel.
Intestinal duplications, Meckel diverticulum, and other remnants of the omphalomesenteric duct; in Behrman R, ed: Treatment of a Meckel diverticulum complicated should always be aimed at the surgical resection of diveticulo diverticulum.
The size is variable, but is defined duagnostico a giant when it exceeds 5 cm in length 5. Enteroclysis is seldom used because of the prevalence of computed tomography. Dig Dis Sci ; An epidemiologic, population-based study.
World J Gastrointest Surg ; 6: A small bowel segmental resection was performed, containing the diverticulum.
Divertículo de Meckel perforado
A median laparotomy was proposed. 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 The authors declare that there are no conflicts of interests in this article.
Blood analyses hemogram, amylase, lipase, cardiac enzymes, and C-reactive protein were within normal values. Am J Gastroenterol ; A case report and review of the literature.
Giant Meckel’s diverticulum torsioned.
Burjonrappa S, Khaing P. A median laparotomy was performed, as laparoscopy was not practicable. Rev Esp Enferm Dig ;