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Meckel's diverticulum.

H M DeBartolo, J A van Heerden

    Annals of Surgery
    |January 11, 1976
    PubMed
    Summary
    This summary is machine-generated.

    This review of 190 Meckel's diverticulum cases found it's a common anomaly. Surgical management varied, with incidental removal in most instances, highlighting its complex clinical presentation.

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    Area of Science:

    • Gastroenterology
    • Surgical Pathology
    • Medical History

    Background:

    • Meckel's diverticulum is a congenital anomaly of the small intestine.
    • Its presentation can be varied and often asymptomatic, posing diagnostic challenges.
    • Surgical management strategies have evolved over time.

    Purpose of the Study:

    • To review a large cohort of Meckel's diverticulum cases.
    • To analyze clinical features and surgical considerations.
    • To understand the incidence and management of Meckel's diverticulum.

    Main Methods:

    • Retrospective review of 190 surgically documented cases.
    • Analysis of patient data from 1920 to 1971 at the Mayo Clinic.
    • Categorization of cases based on surgical intervention: undisturbed, primary disease, or incidental removal.

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    Main Results:

    • 190 cases of Meckel's diverticulum were identified over 51 years.
    • In 100 patients (53%), the diverticulum was removed incidentally.
    • In 51 patients (27%), it was the primary surgical indication; in 39 (20%), it was left undisturbed.

    Conclusions:

    • Meckel's diverticulum is a frequent developmental anomaly with diverse clinical manifestations.
    • Surgical management decisions depend on clinical presentation and intraoperative findings.
    • The condition remains a subject of interest in surgical practice due to its varied presentation.