Meckel’s diverticulum and its plethoric presentation in paediatric surgery: a case series

Gomalaadevee Rajaram; Pavin Kaur Bal Baldev Singh; Muhammad Firdaus Bin Madzlan; John Emmanuel Gilbert Fernandez; Nurdaliza Binti Mohd Badarudin

doi:10.18203/2349-2902.isj20214762

Authors

Gomalaadevee Rajaram Department of Surgery (Paediatric Surgical Unit), Hospital Raja Permaisuri Bainun, Ministry of Health, Perak, Malaysia
Pavin Kaur Bal Baldev Singh Department of Surgery (Paediatric Surgical Unit), Hospital Raja Permaisuri Bainun, Ministry of Health, Perak, Malaysia
Muhammad Firdaus Bin Madzlan Department of Surgery (Paediatric Surgical Unit), Hospital Raja Permaisuri Bainun, Ministry of Health, Perak, Malaysia
John Emmanuel Gilbert Fernandez Department of Surgery (Paediatric Surgical Unit), Hospital Raja Permaisuri Bainun, Ministry of Health, Perak, Malaysia
Nurdaliza Binti Mohd Badarudin Department of Surgery (Paediatric Surgical Unit), Hospital Raja Permaisuri Bainun, Ministry of Health, Perak, Malaysia

DOI:

https://doi.org/10.18203/2349-2902.isj20214762

Keywords:

Meckel’s diverticulum, Vitellointestinal duct, Complications

Abstract

Meckel’s diverticulum (MD) is a congenital abnormality of the gastrointestinal tract resulting from incomplete obliteration of the vitellointestinal duct by 5th to 7th week of gestation. Incidence is 2% in the general population with a 2:1 male to female ratio. The various presentations of MD include gastrointestinal bleeding, intestinal obstruction, diverticulitis and intestinal perforation. Majority of the MD is asymptomatic however the potential risk of developing complication it's about 4-6%. Preoperative diagnosis of MD is challenging. We present 6 cases of MD managed at our centre over the course of 1 year. Two cases presented as intestinal obstruction secondary to mesodiverticular band from MD, one case with bleeding, two cases with intussusception and one case of meckel’s diverticulitis.

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