It is the most common malformation of the gastrointestinal tract and is present in approximately 2% of the population, with males more frequently experiencing symptoms. Nowadays laparoscopy is safe and effective in the management of complicated meckel diverticulum in children. This is known as segmental volvulus and is associated with compromised blood supply and intestinal. Meckel diverticulum is a congenital intestinal diverticulum due to fibrous degeneration of the umbilical end of the omphalomesenteric vitelline duct that occurs around the distal ileum.
A anormalidade congenita mais comum do intestino delgado. Having its own blood supply, meckels diverticulum is susceptible to obstruction or infection. Recent reports have brought into question the belief that intestinal obstruction in pediatrics secondary to meckels diverticulum is not very prevalent, with some series reporting a prevalence of 2540% of pediatric complications. It can do this by infolding on itself into the passageway of the intestine intussusception. We are presenting here our 12year experiences with md in children at tertiary care hospital in north india. The inflamed meckels diverticulum may present as a cyst, but its mucosal layer is more irregular than that found in an intestinal duplication. Meckel diverticulum also referred to as meckels diverticulum is the most common congenital abnormality of the small intestine. Meckel s diverticulum can also cause intestinal obstruction. A pediatric case of meckel diverticulum with uncommon. Less commonly, they are found incidentally on diagnostic imaging. A meckels diverticulum, a true congenital diverticulum, is a slight bulge in the small intestine present at birth and a vestigial remnant of the omphalomesenteric duct also called the vitelline duct or yolk stalk. Pediatric meckels diverticulum online pediatrics course. Meckels diverticulum is the most common congenital anomaly of the gastrointestinal tract, affecting about 2% of the population.
The substance is picked up by cells in the diverticulum, which can then be seen using a radiationsensing camera. Intestinal obstruction by giant meckels diverticulum fulltext ge. This substance can be seen on xrays and indicates areas where acidsecreting stomach tissue exists, including that seen in the meckels diverticulum. It is caused by incomplete obliteration of the vitelline duct and consists of a congenital sacculation of the antimesenteric border of the ileum. Pdf laparoscopy and complicated meckel diverticulum in.
Meckels diverticulum is the most common congenital anomaly of the. Management of pediatric intussusception in general hospitals. If doctors think bleeding from the rectum is caused by a meckel diverticulum, they do an imaging study called a meckel scan. We found that routine color doppler sonography revealed anomalous vessels and signs of inflammation on the wall of the meckels diverticulum.
Yahchouchy ek, marano af, etienne jc, fingerhut al. Feb 15, 2000 meckel s diverticulum is a true intestinal diverticulum that results from the failure of the vitelline duct to obliterate during the fifth week of fetal development. Pediatric meckel diverticulum clinical presentation. Please use one of the following formats to cite this article in your essay, paper or report. The purpose of this article is to familiarize the radiologist with the current imaging of meckels diverticulum and its presenting complications. Pdf meckels diverticulum is the most frequent congenital malformation of the gastrointestinal tract and can. Meckel diverticulum msd manual professional edition. Meckel s diverticulum is an abnormal pouch in the intestine thats present from birth. When symptomatic, meckel s diverticulum may present with abdominal pain or symptoms of gastrointestinal bleeding or bowel obstruction.
Diagnosis, treatment, and differences based on age. A maioria dos pacientes permanece assintomatica por toda a vida. Although most md is asymptomatic, if complications such as hemorrhage, perforation, intestinal obstruction, and diverticulitis occur, symptoms. Meckel s diverticulum md is the one of the most common congenital malformation of gastrointestinal tract and has varied clinical presentations. Meckels diverticula are uncommon and often clinically silent, particularly in the adult. Upon further questioning you find the patient has no past medical history except for occasional painless rectal bleeding the past couple of weeks. Although originally described by fabricius hildanus in 1598, it is named after johann friedrich meckel, who established. Meckels diverticulum causing internal hernia an intestinal obstruction is rare event, with nonspecific signs and symptoms 16.
Oct 20, 2017 meckel diverticulum also referred to as meckel s diverticulum is the most common congenital abnormality of the small intestine. Imaging in diverticulitis of the colon diverticulitis lower gastrointestinal bleeding. Feb 27, 2019 please use one of the following formats to cite this article in your essay, paper or report. Meckels diverticulum md is the one of the most common congenital malformation of gastrointestinal tract and has varied clinical presentations. Meckel diverticulum also referred to as meckel s diverticulum is the most common congenital abnormality of the small intestine. Meckels diverticulum is located in the distal ileum, usually within 60100 cm 2 feet of the ileocecal valve. Its incidence worldwide is 14 out of every 2000 infants and children. Pdf meckels diverticulum in children, clinical and pathological. These complications, especially bleeding, are more common in the paediatric age. The prevalence of meckel diverticulum is usually noted to be approximately 2% of the population, 4 but published series range from 0. Meckels diverticulum, the most common congenital abnormality of the small intestine, may be associated to heterotopic pancreas, often diagnosed incidentally on histopathological examination.
An asymptomatic meckel s diverticulum may be discovered during abdominal exploration for the evaluation of unrelated pathology. Meckels diverticulum is the most common congenital anomaly of the gastrointestinal tract. Meckels diverticulum affects the distal ileum and represents the remnants of the proximal end of the embryologic yolk stalk i. Pdf meckels diverticulum md represents one of the most. Bleeding from meckels diverticulum due to ectopic gastric mucosa is the most. Intussusception secondary to meckels diverticulum in a 3monthold. Additional articles were identified by a manual search of the references from. Scribd is the worlds largest social reading and publishing site. This blind segment or small pouch is about 36 cm 2 inch long and may have a greater lumen diameter than that of the ileum.
The natural history of meckel s diverticulum and its relation to incidental removal. In this study, a small amount of a harmless radioactive substance is given by vein intravenously. The incidence of complications with a meckel diverticulum is reported to wide range between 4% and 40% of patients. A radioactive substance called technetium, which is preferentially absorbed by stomach tissue, is injected into the bloodstream through an intravenous iv line. Meckel diverticulum is a true diverticulum and is the most common congenital anomaly of the gi tract, occurring in about 2% of people.
Department of pediatrics, university of medicine and pharmacy of craiova, romania. Learn about the symptoms of this condition and how its diagnosed and treated. It is considered the most common structural congenital anomaly of the gastrointestinal tract. Meckel diverticulum gastrointestinal disorders msd. Oct 20, 2017 abdominal pain may be reported when the presentation is related to an obstruction or inflammation. Volvulated meckels diverticulum associated to intestinal adhesion as a cause of small bowel. A portion of small intestine may also twist around an anchored meckel s diverticulum. It results from incomplete obliteration of the vitelline duct leading to the formation of a true diverticulum of the small intestine. Pdf management of pediatric intussusception in general. Meckel diverticulum merck manuals professional edition.
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