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Meckel's diverticulum causing acute intestinal obstruction: A case series

Himal Bikram Bhattarai1, Madhur Bhattarai2, Sangam Shah2

  • 1Gandaki Medical College Pokhara Nepal.

Clinical Case Reports
|November 16, 2022
PubMed

Insights

Meckel's diverticulum, a common congenital anomaly, often presents with symptoms like intestinal obstruction. Preoperative diagnosis is challenging, highlighting the need for increased clinical awareness.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Congenital Anomalies

Background:

  • Meckel's diverticulum (MD) is the most frequent congenital abnormality of the gastrointestinal tract.
  • While often asymptomatic, symptomatic MD can manifest with serious complications.
  • Preoperative diagnosis of symptomatic Meckel's diverticulum is frequently challenging.

Observation:

  • This report details three pediatric cases (18 months, 2 years, and 9 years old) presenting with intestinal obstruction.
  • All patients were male and exhibited symptoms indicative of gastrointestinal distress.
  • The clinical presentation necessitated urgent surgical intervention.

Findings:

  • Intestinal obstruction was the primary presenting symptom in all three pediatric cases.
  • The diagnostic difficulty associated with Meckel's diverticulum was evident.
  • Surgical confirmation of Meckel's diverticulum was achieved in all instances.

Implications:

  • Highlights the importance of considering Meckel's diverticulum in pediatric intestinal obstruction cases.
  • Underscores the diagnostic challenges and potential severity of symptomatic Meckel's diverticulum.
  • Emphasizes the need for timely surgical management for symptomatic Meckel's diverticulum.
Keywords:
Meckel's diverticulumNepalacute intestinal obstructiondiverticulectomy

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