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The Many Faces of Meckel's Diverticulum: Update on Management in Incidental and Symptomatic Patients

Robbert-Jan Lindeman1,2, Kjetil Søreide3,4

  • 1Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway.

Current Gastroenterology Reports
|January 14, 2020
PubMed
Abstract

Insights

Meckel's diverticulum presents with varied symptoms and complications across all ages. Management decisions for this rare condition depend on patient-specific factors and whether it is found incidentally or causes symptoms.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Diagnostic Imaging

Background:

  • Meckel's diverticulum is a congenital anomaly of the small intestine.
  • It can be asymptomatic or present with diverse complications throughout life.

Purpose of the Study:

  • To review the varied presentations of Meckel's diverticulum.
  • To discuss symptomatic and incidental findings.

Main Methods:

  • Literature review of recent studies, including retrospective series and case reports.
  • Emphasis on clinical presentation, pathology, and management options.

Main Results:

  • Symptoms commonly arise from obstruction, bleeding, or diverticulitis.
  • Cross-sectional imaging is often unspecific; capsule endoscopy shows utility.
  • Presentations and management are age-specific; complicated cases require resection.

Conclusions:

  • Optimal management of incidental Meckel's diverticulum is debated and should be individualized.
  • Minimal invasive techniques require further refinement for optimal treatment strategies.
Keywords:
BleedingComplicationMeckel’s diverticulumNeuroendocrine tumorObstructionPerforationSmall bowel

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