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Meckel diverticulum revisited
1Department of Surgery, College of Medicine and Asir Central Hospital, Abha, Saudi Arabia.
Abstract:
Nine cases of Meckel diverticulum seen over a period of four years are presented. Six presented with gangrene, perforation, intestinal obstruction, intraabdominal abscess and pain related to Meckel diverticulum. The remaining three were incidental findings. Seven of the patients were males and two females. Average age of the patients was 25.5 years. The paper reaffirms the well-known practice that Meckel diverticulum should be looked for at laparotomies and resected when seen.
Insights
This study reviewed nine Meckel diverticulum cases, finding most presented with serious complications like gangrene and obstruction. The research supports routine identification and resection of Meckel diverticulum during abdominal surgeries.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Surgery
Background:
- Meckel diverticulum is a congenital anomaly of the small intestine.
- It can lead to significant gastrointestinal complications.
- Early diagnosis and management are crucial.
Purpose of the Study:
- To present a series of Meckel diverticulum cases.
- To analyze the clinical presentation and outcomes.
- To reinforce surgical management guidelines.
Main Methods:
- Retrospective case series review.
- Analysis of patient demographics and clinical data.
- Surgical findings and outcomes were documented.
Main Results:
- Nine cases of Meckel diverticulum were identified over four years.
- Six patients presented with acute complications (gangrene, perforation, obstruction, abscess, pain).
- Three cases were incidental findings; 7 males and 2 females, average age 25.5 years.
Conclusions:
- Meckel diverticulum frequently presents with severe complications.
- Routine intraoperative examination for Meckel diverticulum is essential.
- Resection of symptomatic Meckel diverticulum is recommended during laparotomy.
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