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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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Appendicitis-II: Diagnostic Studies and Management01:29

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
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Inflammatory Bowel Disease II: Crohn's Disease01:30

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Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Meckel's diverticulum containing enterolith mimicking acute appendicitis.

ZakaUllah Jan1, Nisar Ahmed1, Naila Aziz1

  • 1Khyber Teaching Hospital, Peshawar, Pakistan.

International Journal of Surgery Case Reports
|August 16, 2022
PubMed
Summary

A rare case of Meckel's diverticulum with an enterolith mimicked acute appendicitis. Surgical resection was successful, highlighting the importance of considering this congenital anomaly in differential diagnoses.

Keywords:
Acute appendicitisCase reportEnterolithMeckel's diverticulum

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Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Congenital Abnormalities

Background:

  • Meckel's diverticulum is a common congenital abnormality of the gastrointestinal tract, representing a remnant of the vitello-intestinal duct.
  • It is a well-known entity in pediatric surgery and gastroenterology.

Observation:

  • A male patient presented with symptoms consistent with acute appendicitis, including peri-umbilical and right iliac fossa pain.
  • Intraoperative findings revealed a Meckel's diverticulum containing an enterolith, which had been clinically misdiagnosed.

Findings:

  • The presence of an enterolith within a Meckel's diverticulum is an uncommon occurrence.
  • This specific case highlights the potential for Meckel's diverticulum to present atypically, mimicking more common surgical emergencies.

Implications:

  • Surgeons must maintain a high index of suspicion for Meckel's diverticulum, especially when clinical presentation is suggestive of acute appendicitis.
  • Accurate preoperative diagnosis and intraoperative awareness are crucial for effective management of such rare gastrointestinal anomalies.