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Diverse presentations in pediatric Meckel's diverticulum: a review of 100 cases

Chen-Chuan Huang1, Ming-Wei Lai1, Fang-Ming Hwang2

  • 1Division of Pediatric Gastroenterology, Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Pediatrics and Neonatology
|April 2, 2014
PubMed

Insights

Pediatric Meckel

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Pathology

Background:

  • Meckel's diverticulum is a congenital anomaly of the small intestine.
  • It can present with various clinical manifestations in children.
  • Understanding these presentations is crucial for diagnosis and management.

Purpose of the Study:

  • To analyze the demographics and characteristics of pediatric Meckel's diverticulum.
  • To correlate presentations with ectopic tissue types and patient demographics.
  • To evaluate surgical approaches for symptomatic Meckel's diverticulum.

Main Methods:

  • Retrospective study of pediatric patients with symptomatic Meckel's diverticulum.
  • Analysis of demographic data, clinical manifestations, Meckel's scan results, and surgical/histological findings.
  • Patients categorized based on obstructive versus non-obstructive symptoms.

Main Results:

  • 100 cases identified; 74 boys, 26 girls.
  • Non-obstructive group (GI bleeding, diverticulitis/perforation) showed higher male predominance and ectopic tissue prevalence.
  • Ectopic gastric tissue common in non-obstructive, ectopic pancreatic tissue in intussusception.
  • Laparoscopic surgery more frequent for non-obstructive cases.

Conclusions:

  • Pediatric Meckel's diverticulum presentations are influenced by ectopic tissue types and sex.
  • Laparoscopic surgery is a common approach for non-obstructive pediatric Meckel's diverticulum.
  • Diverse presentations necessitate tailored diagnostic and surgical strategies.
Abstract

Keywords:
diverticulitisectopic tissueintussusception

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