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Meckel's diverticulum: a review
Kiranjit Uppal1, R Shane Tubbs, Petru Matusz
1Department of Anatomical Sciences, School of Medicine, St George's University, Grenada, West Indies.
Abstract:
Meckel's diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract. This anomaly is due to the incomplete obliteration of the omphalomesenteric duct during the 7th week of gestation and is classically located 2 feet proximal to the ileocecal valve. Variations of this congenital malformation have been recorded based on location, size, and form. While most of the population may be asymptomatic, clinical manifestation, including gastrointestinal bleed and intestinal obstruction, can emerge. Despite the frequency of Meckel's diverticulum, it is commonly misdiagnosed due to its mimicry of appendicitis. This article aimed to review this derailment of embryological development.
Insights
Meckel
Area of Science:
- Gastroenterology and Embryology
Background:
- Meckel's diverticulum is the most common congenital gastrointestinal abnormality.
- It results from the incomplete obliteration of the omphalomesenteric duct during embryonic development.
- Typically located near the ileocecal valve, it presents with varied presentations.
Purpose of the Study:
- To review the embryological basis of Meckel's diverticulum.
- To highlight its common misdiagnosis, particularly mimicking appendicitis.
- To discuss clinical manifestations and variations of this congenital anomaly.
Main Methods:
- Literature review of embryological development and clinical presentations of Meckel's diverticulum.
- Analysis of diagnostic challenges and differential diagnoses.
- Synthesis of information on prevalence, variations, and complications.
Main Results:
- Meckel's diverticulum arises from a failure in omphalomesenteric duct obliteration.
- While often asymptomatic, complications include gastrointestinal bleeding and obstruction.
- Misdiagnosis is frequent due to overlapping symptoms with appendicitis.
Conclusions:
- Understanding the embryology is key to recognizing Meckel's diverticulum.
- Increased awareness can improve diagnostic accuracy and patient outcomes.
- Further research into early detection methods is warranted.
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