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[Meckel´s diverticulum in adults - our five-year experience]
P Labus1, M Lazorčák, M Zofčák
1II. Chirugická Klinika, UPJS, LF Univertiná Nemocnica L. Pasteura, Kostice, prednosta: Doc. MUDr, Jozef Belák, PhD. peto.labus@gmail.com
Material And Methods:
Between 2005 and 2009, 19 patients underwent surgery with an accidental finding of Meckel´s diverticulum (MD) at the Second Department of Surgery in Louis Pasteur University Hospital in Košice. Twelve patients were primarily operated on for acute appendicitis, 3 of them for ileus, 3 patients underwent an elective operation for a gastrointestinal malignity, and in 1 case Meckels diverticulum was found during a complicated cholecystectomy. The average age of the patients was 40.4 years (7 women and 12 men). With regard to the accidental finding in the majority of the cases (18), we proceeded radically with diverticulum resection; in 1 case the diverticulum was left in place.
Conclusions:
Meckel´s diverticulum is among the most frequently occurring congenital anomalies of the gastrointestinal tract; in most cases it has an asymptomatic course and its finding is usually accidental during another operation in the abdominal cavity. In such a case it is up to each individual surgeon to consider all the possible risks and complications and decide on an adequate operating procedure according to the abovementioned criteria of authors defining the absolute indication or contraindication for a radical surgical intervention.
Insights
Accidental Meckel´s diverticulum (MD) findings during surgery are common. Most cases involve radical diverticulum resection, but surgical decisions depend on individual patient risks and indications.
Area of Science:
- Gastroenterology
- Surgical Pathology
Context:
- Meckel's diverticulum (MD) is a frequent congenital anomaly of the gastrointestinal tract.
- Often asymptomatic, MD is typically discovered incidentally during abdominal surgery.
Purpose:
- To analyze the management of incidentally discovered Meckel's diverticula.
- To evaluate surgical decisions for asymptomatic MD found during other procedures.
Summary:
- A retrospective study of 19 patients with incidental Meckel's diverticulum (MD) findings between 2005-2009.
- Most patients (18/19) underwent radical diverticulum resection; one case involved leaving the diverticulum in situ.
- Patient ages averaged 40.4 years, with diverse primary surgical indications including appendicitis, ileus, and malignancy.
Impact:
- Highlights the importance of surgeon judgment in managing incidental MD.
- Informs surgical decision-making regarding resection versus observation for asymptomatic MD.
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