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[Meckel's diverticulum in adults. A 3-decade experience]
O Alarcón Fernández1, F Zamarripa Dorsey, I Hevia
1Gastroenterólogas egresados del Hospital Español de México.
Objective:
To review the prevalence, clinic manifestations and characteristics of the adult Meckel's diverticulum in the Hospital Español de México.
Background:
The Meckel's diverticulum is the most frequent congenital malformation of the gastrointestinal tract. However, only in seldom occasions produces manifestations in adults.
Methods:
Retrospective review of 31 years.
Results:
Meckel's diverticulum was found in only 13 cases. The most common clinical manifestation was pain in the right lower abdominal quadrant; there was not a single case of bleeding. A correct pre surgical diagnosis was done in only one patients. Post surgical course was satisfactory in all patients.
Conclusion:
In adults, the Meckel's diverticulum complications are uncommon, being the most frequent clinical manifestation the pain in the right lower abdominal quadrant and intestinal obstruction.
Insights
Adult Meckel
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Meckel's diverticulum is the most common congenital gastrointestinal malformation.
- Manifestations in adults are infrequent.
Purpose of the Study:
- To review the prevalence, clinical manifestations, and characteristics of adult Meckel's diverticulum.
- To analyze diagnostic accuracy and patient outcomes.
Main Methods:
- Retrospective review of 31 years of patient data.
- Analysis of identified cases of Meckel's diverticulum.
Main Results:
- Meckel's diverticulum identified in 13 adult cases.
- Right lower quadrant abdominal pain was the most common symptom; no cases of bleeding.
- Pre-operative diagnosis was accurate in only one patient.
- All patients had a satisfactory post-operative course.
Conclusions:
- Complications of Meckel's diverticulum in adults are rare.
- Right lower quadrant pain and intestinal obstruction are the most frequent presentations.
- Accurate pre-operative diagnosis remains a challenge.