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Many faces of Meckel's diverticulum and its complications

Sitthipong Srisajjakul1, Patcharin Prapaisilp2, Sirikan Bangchokdee3

  • 1Division of Diagnostic Radiology, Department of Radiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. tiam.mahidol@gmail.com.

Japanese Journal of Radiology
|March 3, 2016
PubMed

Insights

Meckel's diverticulum, a common congenital gastrointestinal abnormality, is usually asymptomatic. However, it can cause serious complications like obstruction or bleeding, making accurate radiological diagnosis crucial for patient care.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Radiology

Background:

  • Meckel's diverticulum is the most frequent congenital anomaly of the gastrointestinal tract.
  • It is characterized as a true diverticulum, encompassing all intestinal wall layers.
  • This structure is typically found on the antimesenteric border of the distal ileum.

Purpose of the Study:

  • To highlight the significance of Meckel's diverticulum as a common congenital gastrointestinal abnormality.
  • To describe the varied clinical presentations of symptomatic Meckel's diverticulum.
  • To emphasize the critical role of radiological diagnosis in managing patients with Meckel's diverticulum.

Main Methods:

  • Review of existing literature on Meckel's diverticulum.
  • Analysis of common clinical presentations and complications.
  • Discussion of diagnostic imaging modalities.

Main Results:

  • Most Meckel's diverticulum cases are asymptomatic.
  • Symptomatic presentations include small-bowel obstruction, diverticulitis, perforation, bleeding, and neoplasms.
  • Radiological diagnosis is essential for timely and appropriate management.

Conclusions:

  • Meckel's diverticulum, despite often being asymptomatic, requires vigilant diagnosis due to potential severe complications.
  • Accurate and timely radiological assessment is fundamental for effective patient management and treatment strategies.
Keywords:
ComplicationImagingMeckel’s diverticulitisMeckel’s diverticulum

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