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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World J Gastrointest Surg ; 6: If there is no evidence of strangulated hernia or bowel suffering, two thirds will be cured medically.

Rev Esp Enferm Dig ; Dig Dis Sci ; 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 divertlculo the segment ileal In adults, intestinal obstruction is more common clinical presentation, from intussusception mechanisms, volvo, enterocolitos or fitobezoares.

Due to contamination of the wound and a psychomotor agitation framework diagnostlco by the patient, it was necessary new surgical approach on the fourth day due a partial dehiscence aponeurotic.

The manifestation of signs and symptoms of the diverticulum is dependent on complications 5. The management of d of the small bowel; in DeFrancesco K ed: The adjacent mesentery vessels were twisted Fig.


Operatory findings were an internal small bowel hernia Fig.

This patient was referred to the operating room and underwent bowel resection segment encompassing the se of the diverticulum and terminoterminal primary enteroanastomosis on two levels with good evolution. In the other one third, surgical therapy is mandatory [11].

Disclosure Statement The authors declare that there are no conflicts of interests in this article.

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Diverticulitis, diverticular perforation or enteroliths in diverticular lumen 7. Higuera-de la Tijerab y E. MD torsion can produce severe vascular obstruction and secondary diverticular gangrene 9and despite being a rare entity, this should be considered in the differential diagnosis of patients with clinical symptoms of acute abdomen.

This is a true diverticulum which is located on the anti-mesenteric border of the ileum, usually about cm ileocecal valve 3.

Spanish Health Illustrated Encyclopedia – Divertículo de Meckel – Serie

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. An epidemiologic, population-based study.

Some authors preferred the resection of intestinal loop containing the MD, although other performed a simple diverticulectomy. And the risk of complications is 4. Diverficulo diagnosis and surgical treatment lead to the successful outcome. The pathologic report described transmural ischemia and hemorrhage of the intestinal mucosa, which was unable to determine the presence of ectopic tissue.


Divertículo de Meckel gigante torsionado: una presentación inusual

After hemodynamic stabilization, we indicated surgical intervention. In a recent review, the conditions most commonly associated with symptomatic diverticulum were: Blood analyses hemogram, amylase, lipase, cardiac enzymes, and C-reactive protein were within normal values. They are specific to each age group.

Pediatric Surgery, ed 7. Enteroclysis is seldom used because of the prevalence of computed tomography.

Intestinal Obstruction by Giant Meckel’s Diverticulum.

Foi proposta laparotomia exploradora. Histological examination of the surgical specimen: It results from incomplete involution of the most proximal portion of the omphalomesenteric duct during the week of fetal development 3.

Meckel diverticulectomy; in Champagne B ed: There was a worsening of pain intensity despite prescribed analgesia. Philadelphia, Elsevier,p Intestinal duplications, Meckel diverticulum, and other remnants of the omphalomesenteric duct; in Behrman R, ed: Incidentally detected Meckel diverticulum: July 26, ; Accepted after revision: