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Presentations of Meckel's diverticulum at Khyber Teaching Hospital Peshawar

Inayat ur Rehman1, Tariq Burki, Said Alam

  • 1Department of Paediatric Surgery, Khyber Teaching Hospital, Peshawar.

Journal of Ayub Medical College, Abbottabad : JAMC
|January 20, 2004
PubMed

Insights

This study on Meckel's Diverticulum found significant differences in presentation between local patients and those in Western countries. Obstruction was the most common symptom locally, unlike bleeding per rectum which was more prevalent internationally.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Pathology

Background:

  • Meckel's Diverticulum is a congenital anomaly of the small intestine.
  • Understanding its varied clinical presentations is crucial for diagnosis and management.
  • Previous studies have highlighted common symptoms, but regional variations may exist.

Purpose of the Study:

  • To analyze the diverse clinical presentations of Meckel's Diverticulum in a specific regional setting.
  • To compare these findings with existing national and international epidemiological data.
  • To identify potential geographical or racial influences on Meckel's Diverticulum manifestation.

Main Methods:

  • Retrospective analysis of 63 patient records from Khyber Teaching Hospital, Peshawar.
  • Inclusion criteria focused on patients presenting with signs and symptoms of Meckel's Diverticulum.
  • Diagnosis confirmed by investigations or intraoperative findings; all patients underwent surgical resection and anastomosis.

Main Results:

  • A high prevalence of intestinal obstruction (82.5%) was observed, contrasting with Western studies (approx. 40%).
  • Bleeding per rectum occurred in only 4.7% of local patients, significantly lower than in Western populations (38.56%).
  • No Helicobacter pylori cultures were performed; Meckel's scans were utilized for patients with rectal bleeding.

Conclusions:

  • The study suggests significant geographical and/or racial differences in the clinical presentation of Meckel's Diverticulum.
  • Observed variations in symptom prevalence warrant further investigation into etiological factors.
  • Findings highlight the importance of considering regional epidemiological data in diagnosing and managing Meckel's Diverticulum.
Abstract

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