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Related Experiment Videos

Meckel's diverticulum in exomphalos minor

J W Nicol1, G A MacKinlay

  • 1Royal Hospital for Sick Children, Edinburgh, UK.

Journal of the Royal College of Surgeons of Edinburgh
|February 1, 1994
PubMed
Summary
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This study found a higher incidence of Meckel

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery

Background:

  • Exomphalos, a congenital abdominal wall defect, presents in two main forms: minor and major.
  • Meckel's diverticulum is a common congenital anomaly of the small intestine.

Purpose of the Study:

  • To investigate the association between exomphalos and Meckel's diverticulum.
  • To determine if the type of exomphalos influences the co-occurrence of Meckel's diverticulum.

Main Methods:

  • Retrospective review of 54 cases diagnosed with exomphalos.
  • Exclusion of 5 cases from analysis, leaving 49 cases for evaluation.
  • Comparison of Meckel's diverticulum incidence between exomphalos minor and exomphalos major groups.

Main Results:

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  • Seven of 25 cases (28%) with exomphalos minor had co-existing Meckel's diverticulum.
  • One of 24 cases (4.2%) with exomphalos major had co-existing Meckel's diverticulum.
  • A statistically significant higher incidence of Meckel's diverticulum was observed in exomphalos minor.
  • Conclusions:

    • The findings suggest a specific association between exomphalos minor and Meckel's diverticulum.
    • Surgical reduction of the exomphalos sac is crucial to identify and manage associated anomalies like Meckel's diverticulum.
    • The elevated general incidence of Meckel's diverticulum may be attributed to its higher prevalence in exomphalos minor cases.