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Meckel's Diverticulum: Factors Associated with Clinical Manifestations.
Jeng-Jung Chen1, Hung-Chang Lee2, Chun-Yan Yeung3
1Department of Pediatrics, Mackay Memorial hospital, Hsinchu, Taiwan.
ISRN Gastroenterology
|July 10, 2014
Summary
Clinical features of Meckel
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Meckel's diverticulum is a congenital anomaly of the small intestine.
- Clinical presentation varies significantly based on patient demographics and pathological findings.
Purpose of the Study:
- To analyze the clinical features of Meckel's diverticula.
- To correlate presentation with age, gender, and pathology.
- To aid clinicians in early diagnosis and management.
Main Methods:
- Retrospective chart review of 126 patients diagnosed with Meckel's diverticulum.
- Analysis of clinical data from 1984 to 2009 at Mackay Memorial Hospital, Taiwan.
- Stratification of features by age group, gender, and pathological findings.
Main Results:
- Symptomatic patients (75) vs. incidental findings (51).
- Pediatric patients: higher rates of intestinal hemorrhage (39%) and inflammation (28%).
- Adult patients: higher rates of inflammation (67%) and intestinal obstruction (58% of females).
- Ectopic gastric mucosa correlated with hemorrhage in younger patients.
Conclusions:
- Age, gender, and pathology significantly influence Meckel's diverticulum presentation.
- Distinct clinical patterns observed in pediatric versus adult populations.
- Understanding these variations is crucial for timely diagnosis.
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