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Updated: Aug 17, 2026

Surgical Management of Meatal Stenosis with Meatoplasty
Published on: December 1, 2010
[Complications of Meckel's diverticulum in children: about 18 cases]
Mohammed Tazi Charki1, Mohammed-Amine Oukhouya1, Zineb Benmassaoud1
1Centre Hospitalier Universitaire Hassan II, Université Sidi Mohamed Ben Abdellah, Département de Chirurgie Pédiatrique, Fès, Maroc.
Insights
Meckel
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Meckel's diverticulum (MD) is a congenital anomaly resulting from the incomplete obliteration of the omphalomesenteric duct.
- While often asymptomatic, MD can lead to significant pediatric surgical complications.
Purpose of the Study:
- To describe the clinical, radiological, and therapeutic characteristics of Meckel's diverticulum complications in children.
- To analyze surgical outcomes and identify rare presentations.
Main Methods:
- Retrospective study of 18 pediatric patients undergoing surgery for MD complications over 10 years.
- Review of clinical data, imaging (ultrasound, CT, scintigraphy), surgical procedures, and pathological findings.
Main Results:
- Acute intussusception and intestinal obstruction were the most common complications.
- Diagnostic imaging challenges noted; scintigraphy aided diagnosis in one case of digestive hemorrhage.
- Surgical approaches included laparoscopy and laparotomy; outcomes were generally good, with one case of anastomotic leakage.
Conclusions:
- Meckel's diverticulum complications in children present with diverse clinical features, frequently leading to intussusception or obstruction.
- Early diagnosis and appropriate surgical intervention are crucial for favorable outcomes in pediatric patients with symptomatic Meckel's diverticulum.
Abstract:
Meckel's diverticulum (MD) is a remnant of omphalomesenteric channel. It is often asymptomatic but it can be responsible for various clinical complications and variable clinical status especially in children. We conducted a retrospective study on complications of MD among children hospitalized in the division of Paediatric Surgery at the University Hospital Hassan II, Fez, Morocco. The study aimed to describe the clinical, radiological and therapeutic features of MD. The study was conducted over a period of 10 years (January 2009 - December 2018) and involved 18 children (15 boys and 3 girls) aged 1 day - 15 years (with an average age of 5 years) who had undergone surgery for complications of MD. Acute intussusception and intestinal occlusion were the most frequent complications. Other complications included: infection of the MD (1 case) and digestive hemorrhage (2 cases). Two rare types of neonatal Meckel's diverticulum were described (neonatal occlusion and fistula associated with omphalocele). In no case, abdominal X-ray without treatment, ultrasound and CT scan showed MD. Scintigraphy was performed in 2 patients with hematochezia and it helped to make the diagnosis of MD in one case. Three patients underwent laparoscopic surgery with resection of the MD and intestinal anastomosis with laparoscopy. The other patients underwent laparotomy. Ileostomy was performed in one case, followed by secondary recovery. Patient's outcome was good, except for one case of anastomotic leakage. Anatomopathological examination showed two cases of heterotopia.
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