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[Meckel's diverticulum. Is it necessary to search for it? Is it necessary to remove it? Apropos of 116 cases]

J C Le Neel, Y Heloury, J Leborgne

    Journal De Chirurgie
    |April 1, 1983
    PubMed

    Insights

    Meckel

    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Context:

    • Analysis of 116 Meckel's diverticula resections over 13 years.
    • Focus on patient demographics, clinical presentations, and pathological findings.

    Purpose:

    • To evaluate the clinical significance and pathological spectrum of Meckel's diverticula.
    • To assess the potential for complications and malignancy in both symptomatic and asymptomatic cases.

    Summary:

    • Severe complications occurred in 35 of 116 Meckel's diverticula, primarily affecting patients under 30.
    • Intestinal obstruction was the most common complication, followed by perforations, hemorrhage, and diverticulitis.
    • Mucosal heterotopia was found in 13% of cases, frequently linked to hemorrhage. Two carcinoid tumors and two gastric heterotopias were incidentally discovered.

    Impact:

    • Highlights the significant risk of severe complications from Meckel's diverticula, especially in young individuals.
    • Underscores the importance of considering Meckel's diverticulum in the differential diagnosis of acute abdominal conditions.
    • Suggests prophylactic excision of asymptomatic Meckel's diverticula in young patients due to potential for pathology and malignancy.

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