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Published on: November 1, 2018
[Symptomatic Meckel's diverticulum in children]
1Klinika detskej chirurgie LF UKo, DFNsP a Onkologický ustav sv. Alzbety, Bratislava, Slovenská republika. horn@dfnsp.sk
Abstract:
Meckel's diverticulum (MD) is the most frequent anomaly of the small intestine, usually asymptotic. Complications of MD in children are usually bleeding and inflammation. Signs are non specific and diagnostics is prolonged. Scintigraphy is the method for the verification of bleeding from MD. A positive finding is the indication for exploration using laparoscopic or classic approach. In patients with bleeding of the MD, the literature presents, that there is usually gastric mucosa. The authors present patients with bleeding and the microscopic picture of the MD was intestinal mucosa with bleeding.
Insights
Meckel
Area of Science:
- Gastroenterology
- Pediatric Surgery
Background:
- Meckel's diverticulum (MD) is a common congenital small intestine anomaly.
- Complications in children often involve bleeding and inflammation with non-specific signs.
- Diagnosis can be prolonged, with scintigraphy used to verify bleeding.
Observation:
- Bleeding from Meckel's diverticulum is a significant complication in pediatric patients.
- Microscopic examination of the diverticulum is crucial for diagnosis.
- Literature typically reports gastric mucosa in bleeding MD cases.
Findings:
- This study presents pediatric cases of bleeding Meckel's diverticulum.
- Microscopic analysis revealed intestinal mucosa, not gastric mucosa, in the affected diverticula.
- This finding contrasts with established literature regarding the tissue type in bleeding MD.
Implications:
- The presence of intestinal mucosa in bleeding MD may alter diagnostic and treatment approaches.
- Further research is needed to understand the implications of this histological finding.
- This highlights the importance of detailed pathological examination in Meckel's diverticulum complications.
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