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Case Report: Complicated Meckel Diverticulum Spectrum in Children
Gunadi1, Wahyu Damayanti2, Robin Perdana Saputra1
1Pediatric Surgery Division, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, Indonesia.
Frontiers in Surgery
|June 11, 2021
Summary
Meckel diverticulum (MD) can cause serious complications like bowel obstruction, peritonitis, and anemia in children. Surgical resection and anastomosis offer effective treatment for complicated MD.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Background:
- Meckel diverticulum (MD) is a common congenital intestinal anomaly affecting 2% of the population.
- MD complications can be life-threatening if diagnosis and treatment are delayed.
- Pediatric cases highlight the diverse and challenging presentations of MD.
Observation:
- Three pediatric patients presented with complicated Meckel diverticulum.
- Presentations included small-bowel obstruction, peritonitis, and severe iron-deficiency anemia.
- One case of anemia occurred without overt gastrointestinal bleeding or ectopic gastric mucosa.
Findings:
- All patients underwent successful exploratory laparotomy, segmental small-bowel resection, and primary anastomosis.
- Surgical outcomes were favorable, with patients discharged on postoperative days 4, 7, and 10.
- MD's varied presentations can complicate diagnosis in children.
Implications:
- Meckel diverticulum requires prompt diagnosis and management due to its potential for severe complications.
- Segmental small-bowel resection with primary anastomosis is an effective surgical strategy for complicated MD.
- Awareness of MD's diverse clinical spectrum is crucial for pediatricians and surgeons.
