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Meckel's diverticulum: a systematic review
Jayesh Sagar1, Vikas Kumar, D K Shah
1Department of Surgery, Royal Free Hospital, London, UK. jsagar_2001@yahoo.com
Abstract:
Meckel's diverticulum is the most common congenital malformation of gastrointestinal tract. It can cause complications in the form of ulceration, haemorrhage, intussusception, intestinal obstruction, perforation and, very rarely, vesicodiverticular fistulae and tumours. These complications, especially bleeding, are more common in the paediatric age group than in adults; however it is not uncommon to miss the diagnosis of Meckel's diverticulum in adults. Here, we reviewed the literature regarding the complications of this forgotten clinical entity in adults with potential diagnostic difficulties and management strategies.
Insights
Meckel
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract.
- It can lead to various complications, including bleeding, obstruction, and perforation.
- Diagnosis in adults is often delayed or missed, despite potential complications.
Purpose of the Study:
- To review the literature on Meckel's diverticulum complications in adults.
- To highlight diagnostic challenges and discuss management strategies for this condition in the adult population.
Main Methods:
- Literature review of Meckel's diverticulum in adults.
- Analysis of complications, diagnostic difficulties, and treatment approaches.
Main Results:
- Complications like hemorrhage, intussusception, and obstruction are significant in adults.
- Delayed diagnosis in adults contributes to increased morbidity.
- Rare complications include fistulae and tumors.
Conclusions:
- Meckel's diverticulum is a significant cause of gastrointestinal issues in adults.
- Increased awareness and timely diagnosis are crucial for effective management.
- Further research into optimal diagnostic and management strategies is warranted.
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