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[The complicated forms of Meckel diverticulum].

O P Kurguzov, V M Nadaraia

|June 4, 2009

Summary

Complicated Meckel diverticulum, often mimicking appendicitis, requires intraoperative diagnosis. Surgical resection is effective, with no reported deaths in this series of 20 patients.

Area of Science:

Gastroenterology
Surgical Oncology
Pediatric Surgery

Background:

Meckel diverticulum is a congenital anomaly of the small intestine.
Complicated Meckel diverticulum presents with diverse clinical manifestations, often leading to diagnostic challenges.

Observation:

Twenty patients with complicated Meckel diverticulum underwent surgical treatment.
Common presentations included acute diverticulitis (n=16), acute ileus (n=2), intestinal bleeding (n=1), and perforation (n=1).
Diagnosis was consistently made intraoperatively, with many acute diverticulitis cases initially presenting as acute appendicitis.

Findings:

Meckel diverticulum was located 40-140 cm from the ileocecal angle.
Surgical management involved wedge ileal resection, with appendectomy performed in 6 patients.

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No mortality was observed in the treated patient cohort.

Implications:

Intraoperative diagnosis of Meckel diverticulum is crucial for appropriate management.
Prompt surgical intervention, including resection, leads to favorable outcomes.
Awareness of Meckel diverticulum's varied presentations can improve diagnostic accuracy in surgical settings.