Perforation of Meckel's diverticulum in infancy

Area of Science:

• Pediatric Surgery
• Gastrointestinal Surgery

Background:

• Meckel's diverticulum is a common congenital anomaly.
• Perforation is a rare but serious complication in infants.

Purpose of the Study:

• To review surgical cases of perforated Meckel's diverticulum in infants.
• To identify clinical features and outcomes.
• To emphasize the importance of early recognition and management.

Main Methods:

• Retrospective case series.
• Analysis of nine infants undergoing surgery for perforated Meckel's diverticulum over 21 years.

Main Results:

• All infants presented with acute illness, including lethargy, irritability, anorexia, fever, abdominal tenderness, and bloody stools.
• Preoperative diagnosis was not achieved in any cases.
• No mortality or significant morbidity was observed with skilled management.

Conclusions:

• Perforated Meckel's diverticulum in infants presents with non-specific symptoms, often delaying diagnosis.
• Peptic ulcer etiology is a key factor for early recognition.
• Prompt surgical intervention and comprehensive management are crucial for survival and minimizing complications.