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Mesenteric Meckel's diverticulum: a case report

M N Manukyan1, A Kebudi, A Midi

  • 1Department of General Surgery, Maltepe University, Istanbul, Turkey. manukyanmanuk@yahoo.com

Acta Chirurgica Belgica
|October 7, 2009
PubMed

Insights

Meckel

Area of Science:

  • Congenital abnormalities
  • Gastroenterology
  • Surgical pathology

Background:

  • Meckel's diverticulum is a common congenital anomaly of the small intestine, representing an incomplete involution of the vitelline duct.
  • Typically found in the terminal ileum, it consists of all layers of the intestinal wall and often contains heterotopic gastric mucosa.

Observation:

  • A 15-year-old female presented with acute abdominal pain, leading to an exploratory laparotomy.
  • A Meckel's diverticulum was identified in the ileum.

Findings:

  • Histological examination revealed intestinal mucosa, heterotopic pancreatic tissue, and gastric mucosa (oxyntic and antral types).
  • The gastric mucosa exhibited chronic peptic ulceration, a rare finding in Meckel's diverticulum.

Implications:

  • This case highlights the diverse histological compositions of Meckel's diverticulum beyond gastric mucosa.
  • The presence of pancreatic tissue and peptic ulceration necessitates a review of current classifications and understanding of this congenital anomaly.

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