DOI: http://dx.doi.org/10.18203/2349-2902.isj20214762

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

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.


Keywords


Meckel’s diverticulum, Vitellointestinal duct, Complications

Full Text:

PDF

References


Anduaga EO, Julca OA, Tantalean RJ, Solano ECL, Miranda CSV, Porro ABM. Case reports of atypical presentation of Meckel’s diverticulum. 2017;12:211-14.

Mohiuddin SS, Gonzalez A, Corpron C. Meckel's diverticulum with small bowel obstruction presenting as appendicitis in a pediatric patient. JSLS. 2011;15(4):558-61.

Kumar KR, Rao BAR, Krishna DM, Raju KAK, Phaniteja P. Meckel’s Diverticulum and its Presentations: A Case Series. Int J Sci Stud. 2015;3(9):173-6.

Chen Q, Gao Z, Zhang L, Zhang Y, Pan T, Cai D et al. Multifaceted behavior of Meckel's diverticulum in children. J Pediatr Surg. 2018;53(4):676-81.

Almetaher HA, Mansour MA. Acute abdomen in children due to different presentations of complicated Meckel’s diverticulum: a case series. Ann Pediatr Surg. 2020;16;45.

Cytryn S, Lowe S, Trivedi S. Meckel’s diverticulum in an adult with a negative meckel’s scan. Abstract published at Hospital Medicine. 2018;8-11:41.

Raphaeli T, Menon R. Current treatment of lower gastrointestinal hemorrhage. Clin Colon Rectal Surg. 2012;25(4):219-27.

Ntoulia A, Tharakan SJ, Reid JR, Mahboubi S. Failed Intussusception Reduction in Children: Correlation Between Radiologic, Surgical, and Pathologic Findings. AJR Am J Roentgenol. 2016;207(2):424-33.

Xie X, Wu Y, Wang Q, Zhao Y, Xiang B. Risk factors for failure of hydrostatic reduction of intussusception in pediatric patients, Medicine. 2019;98(1):e13826.

Brackett WJ, Gupta S. Learning from my experience": Acute abdomen - Perforated Meckel's diverticulitis. Eur J Radiol Open. 2019;6:165-8.

Soltero MJ, Bill AH. The natural history of Meckel's diverticulum and its relation to incidental removal. A study of 202 cases of diseased Meckel's Diverticulum found in King County, Washington, over a fifteen year period. Am J Surg. 1976;132:168-73.

Stone PA, Hofeldt MJ, Campbell JE, Vedula G, DeLuca JA, Flaherty SK. Meckel diverticulum: ten-year experience in adults. South Med J. 2004;97:1038-41.

Onen A, Cigdem MK, Ozturk H, Otcu S, Dokucu AI. When to resect and when not to resect an asymptomatic Meckel's diverticulum: an ongoing challenge. Pediatr Surg Int. 2003;19:57-61.

Ueberrueck T, Meyer L, Koch A, Hinkel M, Kube R, Gastinger I. The significance of Meckel's diverticulum in appendicitis--a retrospective analysis of 233 cases. World J Surg. 2005;29(4):455-8.