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[Complications of Meckel's diverticulum. Report of 42 cases]

Mohamed Issam Beyrouti1, Mohamed Ben Amar, Ramez Beyrouti

  • 1Service de chirurgie générale, EPS Habib Bourguiba, Sfax, Tunisie.

La Tunisie Medicale
|October 20, 2009
PubMed
Abstract

Insights

Complicated Meckel

Area of Science:

  • Gastroenterology and Surgery
  • Congenital Malformations
  • Digestive Tract Diseases

Context:

  • Meckel's diverticulum is a common congenital anomaly of the small intestine.
  • Complications often present with non-specific symptoms, delaying diagnosis.
  • This study analyzes 42 cases of complicated Meckel's diverticulum over 18 years.

Purpose:

  • To report the main complications of Meckel's diverticulum.
  • To highlight diagnostic challenges and treatment outcomes.
  • To emphasize the importance of surgical exploration in diagnosis.

Summary:

  • The study reviewed 42 cases of complicated Meckel's diverticulum, with a median age of 25 and a male predominance (sex-ratio 3.2).
  • Common presentations included acute intestinal obstruction (22 cases) and appendicitis-like symptoms (13 cases).
  • Diagnosis was often confirmed intraoperatively, with surgical exploration revealing peritonitis, diverticulitis, intussusception, tumors, or ulceration. Histological findings included gastric and pancreatic heterotopia, and one case of Burkitt's lymphoma.

Impact:

  • Meckel's diverticulum is a frequent benign malformation with prognosis heavily dependent on complication severity.
  • Laparoscopic approaches may aid in diagnosis and treatment.
  • Early recognition and surgical intervention are crucial for improved patient outcomes.

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