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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Sampath Madhyastha; Latha V. Meckel’s diverticulum is the most prevalent congenital anomaly of the gastrointestinal tract. It might remain completely asymptomatic or may mimic some disorders like Crohn’s disease, Appendicitis and peptic ulcer diseases.
A Meckel’s diverticulum was found during routine dissection. A brief review of this anomaly, its embryological explanation, and probable clinical implications with its management is discussed in this report. Meckel’s diverticulum; Congenital gastrointestinal anomalies; Dissection. The diverticulum ilei or Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal tract.
This persistent part is normally present in early fetal life as the proximal part of the vitellointestinal duct, which usually disappears later. The incidence of Meckel’s diverticulum in the general population has been estimated to be about two percent Standring, Reports from autopsy and retrospective studies range from 0. Two retrospective studies of patients diagnosed with Meckel’s diverticulum also reached this conclusion Leijonmarck et al, A population based study Cullen et al.
The diagnosis of the Meckel’s diverticulum can be made by Technetium scan. When Meckel’s scan is non-diagnostic or in patients with non-bleeding presentations, ultrasonography is perhaps the most useful non-invasive method of reaching a diagnosis Daneman et al, The variation was observed during routine dissection of a male cadaver in the dissection hall of department of Anatomy, Kasturba Medical College, Manipal.
Meciel history of the individual and cause of the death is not known. The small intestine and Meckel’s diverticulum were dissected and our findings were mecke, by photography. A small portion of the wall of the diverticulum was processed for histological study and stained with haematoxylin and eosin. Meckel’s diverticulum occurs in about two percent of the population, making it the most prevalent congenital anomaly of the gastrointestinal tract.
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. Ninety percent of the diverticula are within 90cm of the ileoceacal valve, although presence of the diverticula up to cms from the ileocaecal valve have been reported Williams, Its caliber is generally similar to that of ileum and its blind extremity may be free or may be connected with abdominal wall or with some other portions of the intestine by a fibrous band.
In the present report the Meckel’s diverticulum presented itself 58cm proximal to the ileocecal junction.
It had a length of 4. Its interior showed circular mucous folds similar to that of the proximal part of the ileum. The embryological basis for the Meckel’s diverticulum is well known. Failure of the most proximal part of this duct to obliterate, results in the formation of a Meckel’s diverticulum Artigas, Ectopic tissue is found in up to 55percent of Meckel’s diverticula Haubrich et al, The diverticjlo acidic secretions of gastric tissue may cause ulcerations that often lead to early diagnosis because of symptoms of gastrointestinal bleeding.
The alkaline secretions of ectopic pancreatic tissue can also cause ulcerations Artigas. Malignancies may also occur but mecel found divertoculo only 0.
The other major complications are hemorrhage, obstruction, intussusception, diverticulitis and perforation. Bleeding is the most common complication diverticupo children. Fibrous bands attached to the diverticulum often cause obstruction.
Laparoscopy can be useful in the diagnosis and treatment of Meckel’s diverticula. In addition, the laparoscope can be used to remove incidentally discovered diverticula.
Though ed presence of Meckel’s diverticulum was said to be common in two percent of individuals, we identified this diverticulum for first time in the last 12 years in about cadavers. Hence it is necessary to report such anomaly, whenever it encountered in surgical procedures or cadaver dissection. The present paper will highlight the incidence, the embryological basis and related clinical implications of the Meckel’s diverticulum.
[Giant Meckel’s diverticulum in an adult].
Surgical management of Meckel’s diverticulum. An epidemiologic, population based study.
The value of sonograhpy, CT and air enema for detection of complicated Meckel’s divertuculum in children with nonspecific clinical presentation. Surgical treatment of Meckel’s diverticulum. Laproscopic Meckel’s diverticulectomy in infants: Meckel’s diverticulum in the adult.
Incidence and frequency of complications and management of Meckel’s diverticulum. A fifty – year experience with Meckel’s diverticulum. Laparoscopic treatment of Meckel’s diverticulum. Obstruction and bleeding managed with minimal morbidity. The natural history of Meckel’s diverticulum and its relation to incidental removal. The anatomical basis of clinical practice. London, Elsevier Churchill Livingstone. Management of Meckel’s diverticulum.
Divertículo de Meckel: Reporte de Caso
At dissection the following features were noted. Lymphatic follicles were also observed in submucosa. Oxyntic types of cells or pancreatic tissue were not identified. Casilla D Divertixulo – Chile Tel.: The Meckel’s diverticulum presented itself 58cm proximal to the ileoceacal junction Fig.
The diverticulum was attached to the ante mesenteric border and was suspended by a small peritoneal extension from the mesentery. The blind extremity tip divertuculo the diverticulum was not connected to abdominal wall or other portion meckrl the intestine. The interior showed circular mucous folds, which were similar to that of the proximal part of the ileum Fig. The histological examination showed the presence of short and stout folds of mucous membrane lined by simple columnar epithelium and few goblet cells.