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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Surgical resection of the diverticu,o intestinal segment is the mainstay of treatment in both diverticula diagnosed incidentally, as the complicated by inflammation, bleeding, obstruction or perforation.
In a recent review, the conditions most commonly associated with symptomatic diverticulum were: We present the case of a year-old male with medical history of umbilical hernial surgery, who was admitted to the emergency department with a one-day history of intense epigastric pain.
Histological examination of the surgical specimen: Meckel’s diverticulum with diffuse inflammatory reaction and local drilling without ectopic mucosa findings.
Clinically, he had a high intestinal obstruction without any mechanical cause on computed tomography scan. In children, gastrointestinal bleeding is the most frequent clinical presentation , mainly due to the presence of heterotopic acid-secreting gastric mucosa in diagnoxtico diverticulum, although pancreatic, jejunal, and endometrial mucosa can also be found in the diverticulum .
Approaches for Meckel’s diverticulum depend on how we performed the diagnosis, it was incidental finding or due to the presence of complications. The incidence of complications decreases with increasing age of the patients 6. Preoperative diagnosis is difficult because the clinical presentation may be indistinguishable from other causes of abdominal pain, like appendicitis or pancreatitis.
Axial torsion of a MD is a rare complication. A median laparotomy was proposed.
Divertículo de Meckel
The diverticulum complications are often related to the presence of ectopic mucosa, especially the gastric and pancreatic type. Early diagnosis and surgical treatment lead to the successful outcome.
Enteroclysis is seldom used because of the prevalence of computed tomography.
Found a Meckel’s diverticulum drilled in antimesenteric mcekel of the terminal ileum, 60 cm from the ileocecal valve Figura 1Figura 2 and Figura 3. He was discharged on day 10 without further complications. Axial torsion as a rare and unusual complication of a Meckel’s diverticulum: Initially, a fecaloid mass obstructs the diverticulum leading to inflammation, necrosis and eventual perforation.
A median laparotomy was proposed.
The main clinical presentations are gastrointestinal bleeding, intestinal obstruction, and diverticulitis . Small bowel obstructions can be divided into 3 main groups  Table 1. Resection of Meckel’s diverticulum was performed with certain degree of protection, the biopsy showed no remaining ectopic tissue. Meckel diagnostoco with massive bleeding. An epidemiologic, population-based study.
Operatory findings were an internal small bowel hernia Fig. We conclude that in cases of acute abdomen punctured, the diagnosis of Meckel’s diverticulum should be considered. Diagbostico description of Meckel’s diverticulum of origin occurred in by Johann Friedrich Meckel, based on embryological incomplete obliteration of omphalomesenteric duct between the 5th and 7th week of pregnancy.
An abdominal computed tomography CT was requested, which showed a not-enhanced intestinal loop with thickened walls in supramesocolic region.
Giant Meckel’s diverticulum torsioned. Therefore, the other group of internal hernias due to congenital anomalies foramen of Winslow, supravesical, mesenteric, etc. This saccualar structure had cm length Fig. The size is variable, but is defined as a giant when it exceeds 5 cm in length 5.
Spanish Health Illustrated Encyclopedia – Divertículo de Meckel – Serie
With the suspicion of intestinal ischemia secondary to internal hernia, the patient was transferred to the operating room. Foi proposta laparotomia exploradora. The diagnosis is not only clinical but also confirmed by imaging exams .