[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.

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