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The ileal diverticulum. Morpho-clinical and epidemiological study

I Albu1, V Munteanu, P Florescu

  • 1Anatomy Department, University of Medicine and Pharmacy, Cluj, Romania.

Romanian Journal of Morphology and Embryology = Revue Roumaine De Morphologie Et Embryologie
|January 1, 1993
PubMed

Insights

Meckel

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Pathology

Background:

  • Meckel's diverticulum is a congenital anomaly of the small intestine.
  • Its incidence and clinical presentation vary.
  • Accurate diagnosis and understanding of complications are crucial.

Purpose of the Study:

  • To determine the incidence of Meckel's diverticulum in autopsy and surgical series.
  • To analyze the pathological complications associated with Meckel's diverticulum.
  • To evaluate the prevalence of Meckel's diverticulum in patients presenting with acute abdomen.

Main Methods:

  • Prospective autopsy studies at two hospitals.
  • Retrospective analysis of laparotomy records (1981-1990) for acute abdomen cases.
  • Review of pathological bulletins for Meckel's diverticula and associated pathologies.

Main Results:

  • Autopsy incidence: 1.16% and 1.46%.
  • Surgical incidence (laparotomies for acute abdomen): 1.63% (corrected 1.38%).
  • 64 of 200 diverticula were symptomatic, with inflammatory (50) and ulcero-hemorrhagic (10) complications being most common. Heterotopic tissue (gastric mucosa) found in 17 cases, often symptomatic.
  • Meckel's diverticulum caused symptoms in 0.76% of acute abdomen cases, with concomitant appendicitis in 22 instances.

Conclusions:

  • Meckel's diverticulum is a relatively common congenital anomaly with significant potential for complications.
  • Symptomatic presentations often mimic acute appendicitis, necessitating careful differential diagnosis.
  • The presence of heterotopic tissue increases the risk of complications.

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