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[Meckel's diverticulum in children. A series of cases over 16 years]
L de Mingo Misena1, M Alvarez Bernaldo de Quirós, M Cortés Gómez
1Departamento de Cirugía Pediátrica, Hospital del Niño Jesús, Madrid.
Abstract:
The authors review 45 cases of patients with Meckel's Diverticulum, 28 were symtomatics and 17 asymtomatics. DM symtomatics were more frequent in males 3:1 and usually the diagnosis was made between 0 and 4 years of age. 85% apared with rectal bleeding, diverticulitis and intestinal obstruction. Near all cases with rectal bleeding and diverticulitis were associated with heterotopic mucosa (90%). The best method of diagnosis is the Tc-99 pertechnetate scan although it has been used in small number of cases because of the emergency. The results have been goods except one death, two intestinal obstructions and two wound infections.
Insights
Meckel
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Diagnostic Imaging
Context:
- Meckel's Diverticulum (DM) is a congenital anomaly.
- Review of 45 patient cases to understand DM presentation and outcomes.
- Analysis of symptomatic vs. asymptomatic DM cases.
Purpose:
- To characterize the clinical presentation, diagnosis, and outcomes of Meckel's Diverticulum.
- To evaluate the diagnostic efficacy of Tc-99 pertechnetate scans.
- To identify common complications and associated factors.
Summary:
- Symptomatic Meckel's Diverticulum (DM) is more common in males (3:1 ratio) and diagnosed in early childhood (0-4 years).
- Rectal bleeding, diverticulitis, and intestinal obstruction are the primary symptoms, often linked to heterotopic mucosa (90%).
- The Tc-99 pertechnetate scan is the preferred diagnostic method, despite limited emergency use.
Impact:
- Highlights the importance of early diagnosis and appropriate management of Meckel's Diverticulum.
- Provides insights into the association between heterotopic mucosa and symptomatic DM.
- Informs clinical practice regarding diagnostic strategies and potential complications.