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[Meckel's diverticulitis. Report of 10 cases]
Jaime Ruiz-Tovar1, Vicente Morales-Castiñeiras, Enrique Martínez-Molina
1Departamento de Cirugía General y del Aparato Digestivo, Hospital Universitario "Ramón y Cajal," Madrid, España. jruiztovar@gmail.com
Cirugia Y Cirujanos
|June 19, 2009
Summary
Meckel's diverticulitis, a rare cause of acute abdominal pain, should be considered in diagnoses. Surgeons should explore the abdomen if the appendix appears normal to rule out Meckel's diverticulitis.
Area of Science:
- Gastroenterology
- Surgical Pathology
Context:
- Meckel's diverticulitis is an uncommon condition presenting with acute abdominal pain.
- It is often misdiagnosed as acute appendicitis due to similar symptoms.
Purpose:
- To highlight the importance of considering Meckel's diverticulitis in the differential diagnosis of acute abdominal pain.
- To present clinical cases and surgical findings of Meckel's diverticulitis.
Summary:
- This study reviewed 10 cases of Meckel's diverticulitis diagnosed between 1985 and 2007.
- Most cases (9/10) mimicked acute appendicitis with right lower quadrant pain; one presented with bowel obstruction.
- Surgical intervention involved appendectomy with diverticulectomy or diverticulectomy with adhesion release.
Impact:
- Meckel's diverticulitis is a rare but significant cause of abdominal pathology.
- Intraoperative exploration of the abdominal cavity is crucial when the appendix is macroscopically normal to identify alternative diagnoses like Meckel's diverticulitis.
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