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Published on: November 1, 2018
[Complicated Meckel's diverticulum]
Adem Akçakaya1, Orhan Alimoğlu, Orhan Veli Ozkan
1S.S.K. Vakif Gureba Teaching Hospital, 1st Surgical Clinic, Istanbul, Turkey. aakcakaya@hotmail.com
Background:
In this study we present our experience in the surgical treatment of complicated Meckel's diverticulum.
Methods:
The data of eight patients who underwent surgery due to complications of Meckel's diverticulum between 1994-2001 was retrospectively assessed.
Results:
There were six males and two females with a mean age of 31 years (range 13 to 65). Preoperative diagnoses were acute surgical abdomen in six and incarcerated inguinal hernias in two patients. Intraoperative diagnoses were as follows; Littre's hernia in two, diverticulitis in two, perforation of the diverticulum in one and intestinal obstruction in three patients (there was a band extending from diverticulum to the umbilicus in two patients and a mesodiverticular band in the remaining one). While diverticulectomies were performed in five patients, three had small bowel resections. The mean diameter of the diverticula was 2.3 cm (range 2 to 4) and the mean length was 3.5 cm (range 3 to 8). Postoperative intestinal obstruction was observed in one patient who had underwent diverticulectomy and subsequently a small bowel resection was performed.
Conclusion:
Being aware of the complications of the Meckel's diverticulum is necessary in correct timing of the surgery and selecting the proper incision in patients with acute abdomen. This will result in decreased morbidity.
Insights
Surgical treatment of complicated Meckel
Area of Science:
- Gastrointestinal Surgery
- Surgical Case Series
- Abdominal Surgery
Background:
- Meckel's diverticulum is a congenital anomaly that can lead to various complications.
- Complicated Meckel's diverticulum requires prompt surgical intervention.
Purpose of the Study:
- To present the surgical experience with complicated Meckel's diverticulum.
- To highlight the importance of timely diagnosis and appropriate surgical management.
Main Methods:
- Retrospective assessment of eight patients who underwent surgery for complicated Meckel's diverticulum between 1994 and 2001.
- Analysis of patient demographics, preoperative and intraoperative diagnoses, surgical procedures, and postoperative outcomes.
Main Results:
- Six males and two females (mean age 31 years) were treated.
- Common presentations included acute surgical abdomen and incarcerated inguinal hernias.
- Diagnoses included Littre's hernia, diverticulitis, perforation, and intestinal obstruction.
- Surgical procedures involved diverticulectomy or small bowel resection.
- One patient experienced postoperative intestinal obstruction.
Conclusions:
- Awareness of Meckel's diverticulum complications is crucial for surgical timing and incision selection.
- Prompt and appropriate surgical management can decrease patient morbidity.
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