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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2012 August;25(4):235-7
The varied presentations of Meckel’s diverticula: an analysis of a small series
Narayana Moorthy S., Arcot R.
Sri Ramachandra Medical College and Research Institute, Chennai, India
Aim. The Meckel’s diverticulum is an embryological abnormality that occurs due to a persistent yolk stalk. While this diverticulum is mostly found incidentally, around 17-44% patients have a symptomatic presentation and associated complications. The purpose of this study is to analyse the manifestation and associated complications in the patients with Meckel’s diverticulum in our hospital.
Methods. This is a retrospective study on cases of complicated Meckel’s diverticula, collected during a period of 2 years from June 2008 to June 2010. We excluded asymptomatic Meckel’s diverticula that were incidentally found by perusal of operative notes, histopathology files and medical records and analysed the seven patients who had vivid presentations, ectopic rest and complications.
Results. The prevalence of symptomatic MD was about 43.7% and the ratio of male to female was 5:2. The symptomatology of patients was abdominal pain, bilious vomiting, fever, abdominal distension and melena. The dominant ectopic tissue found was gastric tissue. The various complications were mostly noted in pediatric patients like intestinal obstruction due to volvulus or intussusception, bleeding due to ulcer or inflammation, peritonitis associated with perforated diverticulum and diverticulitis. One interesting case of neuromuscular and vascular hamartoma was noted. One death due to multiorgan dysfunction syndrome was found.
Conclusion. Meckel’s Diverticulum, is always more than just innocuous outpouching. With the risk of bleed, perforation, lead point for intussusception and volvulus, this anomaly leads the rest in their claim to notoriety.