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[Meckel's diverticulum and its complications]
Wiener Medizinische Wochenschrift (1946)
|September 15, 1979
Abstract:
In the last 8 years 15 cases of Meckel's diverticulum were observed, 6 of them with complications: three times inflammation (with two perforations), each once invagination, incarceration and occult bleeding from carcinoids. All complicated and 7 bland diverticula were removed and the intestine oversewed. The postoperative course was normal. Two cases were not treated. Considering possible complications it is recommended to search for a Meckel's diverticulum at each uncomplicated appendectomy or inferior laparotomy and to remove it if found.
Insights
Meckel
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Meckel's diverticulum is a congenital anomaly of the small intestine.
- It can lead to various gastrointestinal complications if left untreated.
Observation:
- Over 8 years, 15 Meckel's diverticulum cases were identified.
- Six cases presented with complications including inflammation, perforation, intussusception, incarceration, and occult bleeding.
Findings:
- All complicated diverticula (6) and 7 asymptomatic cases were surgically removed.
- Postoperative recovery was uneventful for all treated patients.
- Two cases were managed non-operatively.
Implications:
- Prophylactic removal of Meckel's diverticulum is recommended during incidental findings.
- Routine screening during appendectomy or laparotomy can prevent future complications.
- Early detection and surgical intervention improve patient outcomes.