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The Clinical Manifestation Variety and Management Choice of Meckel's Diverticulum with Complication: A Single Center

Tingliang Fu1, Xiaoliang Xu1, Lei Geng1

  • 1Department of Pediatric Surgery, Binzhou Medical University Hospital, Binzhou, Shandong 256603, China.

Gastroenterology Research and Practice
|February 25, 2021
PubMed
Abstract

Insights

Symptomatic Meckel

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Anomalies

Background:

  • Meckel's diverticulum is a congenital anomaly that can cause various complications in children.
  • Symptomatic presentations range from gastrointestinal bleeding to obstruction and peritonitis.

Purpose of the Study:

  • To analyze the diverse clinical manifestations of symptomatic Meckel's diverticulum in pediatric patients.
  • To evaluate the management strategies and outcomes for these cases.

Main Methods:

  • A retrospective review of 28 pediatric cases of Meckel's diverticulum with complications from July 2008 to October 2018.
  • Data collected included demographics, clinical presentation, diagnostic methods, surgical interventions, and pathological findings.

Main Results:

  • The male-to-female ratio was 2.5:1.
  • Common misdiagnoses included intussusception and appendicitis.
  • Ectopic gastric mucosa was found in 9 cases, often associated with lower gastrointestinal bleeding.

Conclusions:

  • Clinical presentations of Meckel's diverticulum are highly variable.
  • Suspicion should be high in children with hematochezia, peritonitis, or obstruction without prior abdominal surgery.
  • Laparoscopic surgery is a viable option for diagnosis and treatment of complicated Meckel's diverticulum.

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