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Meckel's diverticulum: its clinical significance; a report of 54 cases
Abstract:
Of 54 cases of Meckel's diverticulum observed at one hospital in a 20-year period, 27 were noted incidentally and 27 caused symptoms. In the latter group, the patients were preponderantly males. The most common symptoms, in order of frequency, were hemorrhage from the bowel, intestinal obstruction, acute diverticulitis, and intussusception. All the complications except intestinal obstruction occurred in infancy and childhood more often than in later life. Intestinal obstruction was limited to adults. There was strong coincidence of complications and ectopic tissue. Surgical excision was done in all cases of diverticulum causing symptoms, and all patients recovered.
Insights
Meckel
Area of Science:
- Gastroenterology
- Pediatric Surgery
Background:
- Meckel's diverticulum is a congenital anomaly of the small intestine.
- It can present with various complications or be found incidentally.
Purpose of the Study:
- To analyze the presentation, complications, and outcomes of Meckel's diverticulum cases.
- To understand the demographics and clinical features of symptomatic Meckel's diverticulum.
Main Methods:
- Retrospective review of 54 Meckel's diverticulum cases over 20 years.
- Analysis of incidental findings versus symptomatic presentations.
- Categorization of symptoms and complications.
Main Results:
- 27 cases were incidental, 27 were symptomatic.
- Symptomatic cases predominantly affected males.
- Common symptoms included hemorrhage, obstruction, diverticulitis, and intussusception.
- Complications were more frequent in infants/children, except obstruction in adults.
- Strong association between complications and ectopic tissue.
Conclusions:
- Meckel's diverticulum presents diverse complications, with distinct age distributions.
- Prompt surgical intervention for symptomatic cases leads to favorable outcomes.
- Ectopic tissue is a significant factor in Meckel's diverticulum complications.
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