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Acute symptomatic Meckel diverticulum management. Our experience on seven consecutive cases
Annali Italiani Di Chirurgia
|June 6, 2014
Summary
Meckel's diverticulum, a common gastrointestinal anomaly, often presents with acute symptoms like bleeding or obstruction. Surgical removal is recommended to prevent future complications, including neoplasm.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Congenital Anomalies
Background:
- Meckel's diverticulum is the most frequent congenital anomaly of the gastrointestinal tract.
- Acute pathologies associated with complicated Meckel's diverticulum necessitate urgent surgical evaluation.
Observation:
- A retrospective review of seven patients with complicated Meckel's diverticulum was conducted.
- Presentations included gastrointestinal hemorrhage (57%), bowel obstruction (29%), and acute appendicitis (14%).
- Histological examination revealed ectopic mucosa (gastric, pancreatic) in four cases and ulcerated/hemorrhagic areas in one.
Findings:
- Diagnosis of complicated Meckel's diverticulum was often incidental, discovered during laparotomy for acute symptoms.
- Ectopic mucosa, particularly gastric, was a significant finding in complicated cases.
- Hemorrhage was linked to ulcerated or ectopic mucosal areas within the diverticulum.
Implications:
- Prompt surgical resection of Meckel's diverticulum is crucial for managing acute complications.
- Early diagnosis and intervention can prevent severe outcomes and potential future neoplasms.
- Simple diverticulectomy at the base is considered the optimal surgical approach.
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