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[Complicated Meckel diverticula: about 15 cases].

Abib Diop1, Ousmane Thiam1, Mouhamadou Lamine Guèye1

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Complicated Meckel diverticula often present as surgical emergencies, necessitating prompt intervention. Early surgical treatment, typically segmental resection with anastomosis, is crucial for managing these serious gastrointestinal conditions.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Abdominal Surgery

Background:

  • Meckel diverticulum is a congenital anomaly of the small intestine.
  • Complications of Meckel diverticulum represent a significant cause of emergency abdominal surgery.
  • These complications include obstruction, perforation, and bleeding.

Purpose of the Study:

  • To analyze the clinical presentation, surgical management, and outcomes of complicated Meckel diverticula.
  • To highlight the role of emergency surgery in treating Meckel diverticulum complications.
  • To evaluate the morbidity and mortality associated with surgical intervention.

Main Methods:

  • Retrospective study of 15 patients with complicated Meckel diverticula.
  • Data collected from emergency surgery cases over a 13-year period (January 2003-June 2016).
  • Analysis of patient demographics, clinical presentation, surgical procedures, and postoperative outcomes.

Main Results:

  • The primary presentations were occlusive syndrome and peritoneal irritation.
  • Intestinal necrosis with perforation occurred in 10 patients at diagnosis.
  • All patients underwent segmental intestinal resection with diverticulectomy; 12 had immediate anastomosis.
  • Morbidity included 2 cases of fistulas and 2 of postoperative peritonitis; one death from septic shock.

Conclusions:

  • Complicated Meckel diverticula are digestive emergencies requiring timely and appropriate surgical management.
  • Surgical resection with primary anastomosis is feasible and effective in most cases.
  • Despite advances, complications of Meckel diverticula are associated with significant morbidity and mortality.