We present a case of Meckel diverticulitis in a boy of 7 years old, diagnosed by ultrasound and documented by surgery. We review the literature about the. Diagnóstico endoscópico de una invaginación por divertículo de Meckel. Article in Gastroenterology 34(9) · November with 3 Reads. El divertículo de Meckel se ha de considerar en el diagnóstico diferencial del dolor abdominal y la hemorragia digestiva baja, especialmente en la infancia.

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Intestinal Obstruction by Giant Meckel’s Diverticulum.

Como citar este artigo. A 39 years old man, was admitted to the emergency unit of diffuse abdominal pain of 3 days of evolution, associated with anorexia, nausea and vomiting. In this case, we carry out a small bowel resection including the diverticulum, because the intestinal bowel near the MD was also ischemic.

More rarely, Meckel’s diverticulum can be pierced by foreign bodies 9.

Dig Dis Sci ; A median laparotomy was performed, as laparoscopy was not practicable. World J Gastrointest Surg ; 6: Despite the rarity of this kind of hernia, symptoms are similar to the vast majority of causes of small bowel obstruction: The description of Meckel’s diverticulum of origin occurred in by Johann Friedrich Meckel, based on embryological incomplete obliteration of omphalomesenteric duct between the 5th and 7th week of pregnancy.


Histology revealed a cm long Meckel’s diverticulum with no heterotopic mucosa. Loss 1Everson L.

It is believed to be the enterectomy segment with end-to-end reconstruction the most appropriate conduct to ensure the complete removal of the diverticulum and ectopic mucosa at the base of the segment ileal Blood analyses hemogram, amylase, lipase, cardiac enzymes, and C-reactive protein were within normal values.

Surgical management of Meckel’s diverticulum. The manifestation of signs and idagnostico of the diverticulum is dependent on complications 5.

He had history of epilepsy and mental deficit. And the risk of complications is 4. This last has less complication rates in relation to wound infection, mechanical ileus or stenosis 8.

Divertículo de Meckel | Dallas Cardiovascular Specialists

Early diagnosis and surgical treatment lead to the successful outcome. Treatment of a Meckel diverticulum complicated should always be aimed at the surgical resection of the diverticulum. Axial torsion as a rare and unusual complication of a Meckel’s diverticulum: In children, gastrointestinal bleeding is the most frequent clinical presentation [4], mainly due to the presence of heterotopic acid-secreting gastric mucosa in the diverticulum, although pancreatic, jejunal, and endometrial mucosa can also be found in the diverticulum [5].

This saccualar structure had cm length Fig. Seth A, Seth J. In the other one third, surgical therapy is mandatory [11].

Divertículo de Meckel gigante torsionado: una presentación inusual

Approaches for Meckel’s diverticulum diverticuloo on how we performed the diagnosis, it was incidental finding or due to the presence of complications. The authors declare that there are no conflicts of interests in this article. The main clinical presentations are gastrointestinal bleeding, intestinal obstruction, and diverticulitis [1]. Absence of gas elimination flatulance and feces over the same period. We conclude that in cases of acute abdomen punctured, the diagnosis of Meckel’s diverticulum should be considered.


Incidentally detected Meckel diverticulum: Small bowel obstructions can be divided into 3 main groups [8] Table 1.

Current Surgical Therapy, ed MD torsion can produce severe vascular obstruction and secondary diverticular gangrene 9and despite being a rare entity, this should be considered in the differential diagnosis of patients with clinical symptoms of acute abdomen. J Am Coll Surg ; The pathologic report described transmural ischemia and hemorrhage of the intestinal mucosa, which diveerticulo unable to determine the presence of ectopic tissue.

Although this complication has been reported, to the best of our knowledge this extreme size of MD has not been described previously, and that caused the atypical presentation. We report the case of a year-old male diagnpstico presented to the emergency department with epigastric pain, vomiting, and abdominal distension.