Related Experiment Video
Updated: Jun 28, 2026
Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
[Surgical treatment of Meckel diverticulum complicated by an acute hemorrhage]
Abstract:
Mekkel's diverticulum (MD)--is the inborn anomaly, caused by incomplete yolk duct development, it is present in near 2% of population and in 95% of observations lacks clinical manifestations. Symptoms of the disease manifest while complications occurrence only--in presence of peptic ulcer with possible hemorrhage and perforation occurrence, while ileus, diverticulitis, hernia, umbilicus fistula and tumor development. Eight patients, suffering MD, complicated by gastrointestinal hemorrhage, were treated during 1983-2006 yrs in Kyiv's city center for giving the aid to patients suffering gastrointestinal hemorrhage (GIH). These had constituted 6.6% of general quantity of adult patients, suffering rare causes of GIH occurrence, and 0.03% of all the patients, suffering GIH. For the diagnosis establishing in all the patients colonoscopy, barium enema and abdominal ultrasonography were applied. Definitive diagnosis was established only postoperatively. MD was extirpated in 5 patients, the wedge ileum resection with MD was accomplished in 1 patient and ileum resection with MD--in 2 patients. All the patients are alive.
Insights
Meckel
Area of Science:
- Gastroenterology
- Surgical Pathology
- Congenital Anomalies
Context:
- Meckel's diverticulum (MD) is a congenital anomaly affecting 2% of the population, often asymptomatic.
- Complications like gastrointestinal hemorrhage (GIH) necessitate medical intervention.
- This study focuses on MD as a rare cause of GIH in adult patients.
Purpose:
- To report on the diagnosis and surgical management of Meckel's diverticulum complicated by gastrointestinal hemorrhage.
- To analyze the clinical presentation and outcomes of patients with MD-related GIH.
Summary:
- Eight adult patients with Meckel's diverticulum (MD) complicated by gastrointestinal hemorrhage (GIH) were treated between 1983-2006.
- Diagnostic methods included colonoscopy, barium enema, and ultrasonography, with definitive diagnosis often post-operative.
- Surgical interventions ranged from MD extirpation to ileum resection; all patients survived.
Impact:
- Highlights Meckel's diverticulum as a significant, albeit rare, cause of gastrointestinal bleeding in adults.
- Emphasizes the importance of considering MD in the differential diagnosis of obscure GIH.
- Demonstrates successful surgical outcomes for MD complications.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
01:28Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
01:28Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations: