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Related Experiment Videos

Complicated Meckel's diverticulum: Presentation modes in adults.

Alina Parvanescu1, Matthieu Bruzzi, Thibault Voron

  • 1Digestive Surgery Unit, European Georges Pompidou University AP-HP Hospital Paris Descartes Faculty of Medicine ANCRE, EA 4465, Paris Descartes University, Paris Digestive Surgery Unit, Avicenne University AP-HP Hospital UFR SMBH, Paris-Nord, Faculty of Medicine, Bobigny, France.

Medicine
|September 22, 2018
PubMed
Summary

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Complicated Meckel's diverticulum is challenging to diagnose in adults, often requiring exploratory laparoscopy. This study highlights its varied presentations and management in adult patients.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Complicated Meckel's diverticulum is a frequent cause of acute abdomen in children but less common in adults.
  • Diagnosis in adults is often delayed due to nonspecific clinical presentations.

Purpose of the Study:

  • To analyze the clinical characteristics, presentation, and management of complicated Meckel's diverticulum in adult patients.
  • To evaluate the diagnostic utility of exploratory laparoscopy for acute abdomen of uncertain origin.

Main Methods:

  • Retrospective review of adult patients undergoing surgical removal of complicated Meckel's diverticulum between 2001 and 2017.
  • Analysis of patient demographics, clinical findings, diagnostic methods, surgical procedures, and postoperative outcomes.

Main Results:

Related Experiment Videos

  • 37 adult patients (mean age 46.1 years) were included. Common presentations were diverticulitis (35.1%), small-bowel obstruction (35.1%), and gastrointestinal bleeding (29.8%).
  • Preoperative diagnosis was achieved in only 40% of cases, with 60% requiring exploratory laparoscopy.
  • Intestinal resection was performed in 89% of patients; heterotopic tissue was found in 16%.

Conclusions:

  • Diagnosing complicated Meckel's diverticulum in adults is difficult due to non-specific symptoms.
  • Exploratory laparoscopy is crucial for diagnosing acute abdomen of uncertain etiology in adults.
  • Management involves surgical intervention, often intestinal resection, with generally low postoperative complication rates.