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Asymptomatic Meckel's diverticulum in adults: is diverticulectomy indicated?
Leo F Tauro1, Celine George, Bangalore S Rao
1Department of General Surgery, Fr. Muller Medical College Hospital, Kankanady, Mangalore (D.K.), Karnataka, India.
Summary
This study found Meckel's diverticulum (MD) in 1.13% of patients undergoing abdominal surgery. Researchers recommend searching for MD during surgery to prevent potential complications, even in asymptomatic cases.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Surgery
Background:
- Meckel's diverticulum (MD) is a congenital anomaly of the small intestine.
- Its clinical presentation and optimal management, particularly in asymptomatic individuals, remain subjects of investigation.
Purpose of the Study:
- To determine the incidence of Meckel's diverticulum (MD) in patients undergoing surgery for acute abdomen.
- To analyze the clinical profile and surgical outcomes associated with MD.
- To evaluate the necessity of diverticulectomy for asymptomatic MD in adults.
Main Methods:
- A prospective study involving 1332 patients operated on for acute abdomen over a 10-year period.
- Intraoperative exploration for Meckel's diverticulum (MD) during laparotomy or appendicectomy.
- Histopathological examination of resected MD specimens to confirm diagnosis and identify pathological changes.
Main Results:
- Meckel's diverticulum (MD) was identified in 15 patients (1.13% incidence).
- Seven cases (46.7%) were symptomatic (hematochezia, intestinal obstruction, diverticulitis), while eight (53.3%) were asymptomatic.
- Histopathology revealed inflammation, gangrene, or heterotopic epithelium (gastric/colonic mucosa) in resected MDs.
Conclusions:
- Routine intraoperative search for Meckel's diverticulum (MD) during appendicectomy or laparotomy for acute abdomen is recommended.
- Surgical resection (diverticulectomy or excision) of identified MD is advised to prevent future complications.
- Consideration for surgical intervention in asymptomatic MD cases may be warranted to mitigate risks.
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