The abdomen had no palpable hernias, was distended with diffuse pain on palpation, and had no signs of peritonitis. Intestinal obstruction by giant meckels diverticulum. Discussion meckels diverticulum is a true diverticulum and its layers are formed by all the layers of the ileal wall6. Meckel diverticulum merck manuals consumer version. Meckel s diverticula are uncommon and often clinically silent, particularly in the adult. Although originally described by fabricius hildanus in 1598, it is named after johann friedrich meckel, who established.
Meckels diverticulum md is the most frequent congenital malformation of the small intestines due to incomplete degeneration of an omphalomesenteric duct or a vitelline duct, which takes place around 57 weeks of the fetal period 1,2. Scientific papers meckels diverticulum in infants and children marshall a. If doctors think bleeding from the rectum is caused by a meckel diverticulum, they do an imaging study called a meckel scan. Meckel s diverticulum is the most common congenital anomaly of the gastrointestinal tract. Pediatric meckel diverticulum clinical presentation. The authors present their experience for the management of meckels diverticulum. The lateral cortical wall of the upper tibial metaphysis remains notably straight. Occurring on the antimesenteric border of the distal ileum, meckel.
Upon further questioning you find the patient has no past medical history except for occasional painless rectal bleeding the past couple of weeks. Learn about the symptoms of this condition and how its diagnosed and treated. Meckel s diverticulum md is the one of the most common congenital malformation of gastrointestinal tract and has varied clinical presentations. Meckels diverticulum md has varied clinical manifestations and is a diagnostic challenge for pediatricians. Diagnosis and management of pediatric appendicitis. Meckel diverticulum also referred to as meckels diverticulum is the most common congenital abnormality of the small intestine. Meckels diverticulum is a small outpouching extending from the wall of the intestine and located in the lower portion of the small intestine. Meckels diverticula are uncommon and often clinically silent, particularly in the adult. The adjacent metaphysis is also depressed and has a beaklike protuberance of rarified bone oriented medially. We are presenting here our 12year experiences with md in children at tertiary care hospital in north india. The intestinal mucosa lining the walls of the ileum also line the walls of the meckels, but frequently the meckels contains ectopic tissue. Clinical features of symptomatic meckels diverticulum in.
Meckels diverticulum in infants and children sciencedirect. In children, most series have historically noted that hematochezia is the most common presenting sign. This study investigates the clinical and diagnostic characteristics of md in children with different presentations. Perforation of meckel s diverticulum caused by a fish bone. Sin embargo, solo pocas personas presentan sintomas. Imperforate anus rectovestibular fistula persistent cloaca rectal atresia. Feb 15, 2000 meckel s diverticulum is a true intestinal diverticulum that results from the failure of the vitelline duct to obliterate during the fifth week of fetal development. Clinical and diagnostic relevance of meckels diverticulum. The lining of this pouch is made up of either pancreatic tissue or acidsecreting tissue such as that seen in the. It is the most common malformation of the gastrointestinal tract and is present in approximately 2% of the population, with males more frequently experiencing symptoms. By jorge godoy, patricio varela b, juan jose latorre l and alejandra henriquez p. Oct 20, 2017 meckel diverticulum also referred to as meckel s diverticulum is the most common congenital abnormality of the small intestine.
Meckel diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurring in 2%3% of the population, 1. Pediatric meckels diverticulum online pediatrics course. Meckel diverticulum also referred to as meckel s diverticulum is the most common congenital abnormality of the small intestine. It results from incomplete obliteration of the vitelline duct leading to the formation of a true diverticulum of the small intestine 1. Most 75% meckel diverticula are found within 60 cm range 40100 cm of the ileocecal valve 2.
The natural history of meckels diverticulum and its relation to incidental removal. In an ileal diverticulum meckel s diverticulum gastric. Meckels diverticulum md is the one of the most common congenital malformation of gastrointestinal tract and has varied clinical presentations. Meckel s diverticulum md is the most frequent congenital malformation of the small intestines due to incomplete degeneration of an omphalomesenteric duct or a vitelline duct, which takes place around 57 weeks of the fetal period 1,2.
Meckel s diverticulum is a small outpouching extending from the wall of the intestine and located in the lower portion of the small intestine. There was a problem providing the content you requested. Complications of the md have been reported to include hemorrhage, perforation, inflammation, intestinal obstruction, stone formation, and hemia. The data including the age, sex, clinical features. Onetrocar transumbilical laparoscopicassisted management. The prevalence of meckel diverticulum is usually noted to be approximately 2% of the population, 4 but published series range from 0. The abdomen had no palpable hernias, was distended with diffuse pain on palpation. Sonography of acute right side colonic diverticulitis. The pouch is a remnant of tissue from the embryonic development of the digestive system. It can be as long as 5 cm with diameters up to 2 cm. Progressive, never resolves spontaneously thus bracing unlikely to work.
The substance is picked up by cells in the diverticulum, which can then be seen using a radiationsensing camera. Sonographic findings of meckel s diverticulitis in children. Meckel s diverticulum is an abnormal pouch in the intestine thats present from birth. Transumbilical laparoscopicassisted intestinal surgery using only one trocar is a very minimal invasive procedure. Scribd is the worlds largest social reading and publishing site. A meckel s diverticulum, a true congenital diverticulum, is a slight bulge in the small intestine present at birth and a vestigial remnant of the omphalomesenteric duct also called the vitelline duct or yolk stalk. Meckels diverticulum is the most common congenital anomaly of the gastrointestinal tract. A anormalidade congenita mais comum do intestino delgado. In this study, a small amount of a harmless radioactive substance is given by vein intravenously. Originally described in 1809 by the german anatomist, johann friedrich meckel 17811833, the diverticulum is the result of incomplete atrophy of the omphalomesenteric duct, 2. A meckels diverticulum, a true congenital diverticulum, is a slight bulge in the small intestine present at birth and a vestigial remnant of the omphalomesenteric duct also called the vitelline duct or yolk stalk. Nelson textbook of pediatrics, ed in this case, we carry out a small bowel resection including the diverticulum, because the intestinal bowel near the xiagnostico was also ischemic.
1267 792 956 435 302 486 374 1589 1543 1312 1539 969 436 1368 235 992 585 563 149 421 6 1191 528 1473 557 1111 622 320 1204 848 1417 404 1146 111 172 186 118