scholarly journals Histo-morphological study of a giant Meckel's diverticulum with gastric type of mucosa

2016 ◽  
Vol 33 (02) ◽  
pp. 108-111 ◽  
Author(s):  
B. Nayak ◽  
P. Shetty ◽  
S. Sirasanagandla ◽  
N. Kumar ◽  
A. Aithal
Keyword(s):  
Morphological Study ◽  
Meckel’S Diverticulum ◽  
Relevant Literature ◽  
Clinical Importance ◽  
Meckel's Diverticulum ◽  
South Indian ◽  
Gastric Type ◽  
Male Cadaver ◽  
Life Threatening ◽  
The Common

Abstract Introduction: Meckel's diverticulum or ileal diverticulum is one of the common congenital anomalies of the digestive system. It may not cause any problems in many, but may form serious life threatening complications in a few. Materials and Methods: We conducted a histo-morphological study of a giant Meckel's diverticulum found during cadaveric dissections of a South Indian adult male cadaver. The diverticulum was 7.5 cm long and had a circumference of 1.5 cm. Results: Gross anatomical and histological observations revealed healthy nature of the diverticulum without any inflammation. However, the mucosa had gastric type of glands with plenty of parietal cells. This incidence of Meckel's diverticulum was noted in only one cadaver among more than 100 cadavers dissected in the past twenty years. Conclusion: Knowledge of its morphological features may be very useful to surgeons, radiologists and gastroenterologists. We discuss the clinical importance of the diverticulum and review the relevant literature in this manuscript.

scholarly journals Acute abdomen in children due to different presentations of complicated Meckel’s diverticulum: a case series

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Hisham A. Almetaher ◽  
Mohammed Awad Mansour
Keyword(s):  
Congenital Abnormality ◽  
Wedge Resection ◽  
Meckel’S Diverticulum ◽  
Case Series ◽  
Postoperative Outcome ◽  
Meckel's Diverticulum ◽  
Gastrointestinal Disorders ◽  
Clinical Presentations ◽  
Life Threatening ◽  
Small Base

Abstract Background Meckel’s diverticulum (MD) is the commonest congenital abnormality of the gastrointestinal tract that occurs in 2% of general population. It remains asymptomatic, but it may lead to life-threatening complications. These complications may be misdiagnosed with other gastrointestinal disorders like acute appendicitis, making its diagnosis challenging among pediatricians and pediatric surgeons. In this study, we reported five cases with different presentations of complicated MD in children. Results Five patients with different presentations of MD were reported during the period from January 2016 to January 2020. Patients’ demographics, clinical presentations, investigations, operative data, and postoperative outcome were recorded and analyzed. Conclusions The present study highlights different presentations of MD. Surgical interference is the main key of treatment of symptomatic MD either by wedge resection of a small base diverticulum or by resection anastomosis of the small intestine in wide base and inflamed diverticulum.

scholarly journals Unusual Presentation of Meckel’s Diverticulum: Gangrene due to Axial Torsion

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Ahmet Rencuzogullari ◽  
Kubilay Dalci ◽  
Orcun Yalav
Keyword(s):  
Congenital Anomaly ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Preoperative Diagnosis ◽  
Iliac Fossa ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Life Threatening ◽  
Operative Findings ◽  
The Right

Meckel’s diverticulum is the most common congenital anomaly of the small bowel. The majority of cases are asymptomatic; however, life-threatening complications can also take place. We present a case of a 37-year-old male who was admitted with symptoms of acute, severe abdominal pain in the right iliac fossa. The patient was operated on with the preoperative diagnosis of acute appendicitis but the operative findings were consistent with torted Meckel’s diverticulum due to presence of mesodiverticular band and he was treated successfully with surgical resection.

scholarly journals Case Report: Intraoperatively diagnosed perforated Meckel’s Diverticulum containing gastric-type mucosa

2021 ◽  
Author(s):  
Omar Al Laham ◽  
Reham Albrijawy ◽  
Mhd Imadaldin Alsamman ◽  
Jack Shaheen ◽  
Fareed Atia ◽  
...  
Keyword(s):  
Case Report ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Gastric Type

Abstract The authors have requested that this preprint be removed from Research Square.

Meckel's diverticulum in animals and birds: An immuno-pathoclinical perspective

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
M.R. Gofur
Keyword(s):  
Small Intestine ◽  
English Language ◽  
Plasma Cells ◽  
Meckel’S Diverticulum ◽  
Clinical Importance ◽  
Meckel's Diverticulum ◽  
Immune Functions ◽  
Peritoneal Adhesions ◽  
Medline Search ◽  
Manual Search

Background: Meckel’s diverticulum (MD), also known as vitelline diverticulum, is a congenital anomaly found in animals and birds as an appendage of the small intestine with immuno-pathoclinical significance. Methods: The author used PubMed and Medline search engines for articles containing terms such as Meckel's diverticulum, animals, birds, histopathology, complications and immune functions. From the abstracts of those articles, relevant articles were selected and reviewed them in detail. All the relevant major review articles and trials were included. The articles, which were available in full text English language, were selected. Additional articles were identified by a manual search of the references from the reviewed articles. Results: MD is a vestigial remnant of the omphalomesenteric duct. MD is most commonly found in horses and swine and less common in ruminants, carnivores and aves. The gross morphology and location on small intestine varies species to species. Hereditary, breed, age and sex are the factors that influence the occurrence of MD in animals. Histologically the wall of the diverticulum is of the same construction as the small intestinal wall (mucosa, submucosa, muscular and serosa coats) with a few exceptions like lack of villi and has a large amount of aggregated lymphoid follicles in its tunica mucosae, and also its muscularis mucosae. MD is a novel lymphoepithelial organ in the birds because of its high amount of lymphoid tissue. It produces large number of plasma cells which are comparable to those of the gland of Harder. MD is not generally of great clinical importance, but it is occasionally involved in several pathoclinical complications like recurrent colic from impaction, the development of peritoneal adhesions and strangulations in animals. Conclusion: The information included in the review regarding the development, prevalence, morphology, immunological and pathoclinical significance of Meckel’s diverticulum is supportive to prevent complications which will result in morbidity and mortality in animals and birds.

Arterial embolization to control life-threatening hemorrhage from a Meckel's diverticulum.

1990 ◽  
Vol 154 (6) ◽  
pp. 1257-1258 ◽  
Author(s):  
M Okazaki ◽  
H Higashihara ◽  
S Yamasaki ◽  
Y Akita ◽  
H Toriya ◽  
...  
Keyword(s):  
Meckel’S Diverticulum ◽  
Arterial Embolization ◽  
Meckel's Diverticulum ◽  
Life Threatening

scholarly journals Chronic Nocturnal Abdominal Pain as the Presentation of Inverted Meckel Diverticulum: A Case Report

Children ◽  
2022 ◽  
Vol 9 (1) ◽  
pp. 69
Author(s):  
Ting-Yu Wang ◽  
Yu-Tsun Su ◽  
Po-Jui Ko ◽  
Yea-Ling Chen ◽  
Hsiang-Hung Shih ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Meckel’S Diverticulum ◽  
Clinical Manifestations ◽  
Exploratory Laparotomy ◽  
Meckel's Diverticulum ◽  
Distended Abdomen ◽  
History Of ◽  
The Common ◽  
Hospital Visits ◽  
Inverted Meckel’S Diverticulum

The common clinical manifestations of Meckel’s diverticulum include painless lower gastrointestinal bleeding and intestinal obstruction due to intussusception. Intussusception induced by inverted Meckel’s diverticulum has rarely been reported; furthermore, there is no report thus far of chronic nocturnal abdominal pain as a presenting symptom in children with Meckel’s diverticulum. A 4-year-and-10-month-old girl with no significant history of previous illness presented with the sole complaint of chronic nocturnal abdominal pain for 3 months. The patient was reported to be asymptomatic during the day. A provisional diagnosis of chronic ileoileal intussusception was already under consideration in her previous hospital visits elsewhere. Physical examination revealed a soft, non-distended abdomen without tenderness. Imaging studies revealed ileoileal intussusception. Exploratory laparotomy showed ileoileal intussusception induced by an inverted Meckel’s diverticulum with ulceration. The patient underwent successful surgery and made a full recovery. We report this case to remind physicians that Meckel’s diverticulum should be considered in differential diagnosis of children presenting with the isolated symptom of chronic nocturnal abdominal pain.

scholarly journals Symptoms Investigate the Frequency of Various Presentations of the Meckel’s Diverticulum and Help Identify Sign Promptly

2020 ◽  
pp. 1-8
Author(s):  
Ashjaei Bahar ◽  
Ashjaei Bahar ◽  
Amiri Shakiba ◽  
Najdi Fatemeh ◽  
Movahedi Jadid Merisa
Keyword(s):  
Helicobacter Pylori ◽  
Abdominal Pain ◽  
Clinical Symptoms ◽  
Demographic Data ◽  
Meckel’S Diverticulum ◽  
Case Series ◽  
Meckel's Diverticulum ◽  
Helicobacter Pylori Infection ◽  
Female Ratio ◽  
Gastric Type

Background: Meckel's diverticulum is the most common anomaly of the intestine. It is usually asymptomatic but could also be symptomatic with complications such as bleeding, intestinal obstruction, and inflammation. This study was performed to assess the frequency of various presentations of the patients who underwent surgery with the diagnosis of Meckel's diverticulum in Children's Medical Center, Tehran, Iran from March 2005 to March 2011. Material and Methods: Since this study is a case series report (retrospective descriptive study) and the purpose is assessing the various presentation of Meckel’s` diverticulum, we express the frequency and percent frequency of each presentation. The data collection tool was a five-part survey form. The first part was related to demographic data, the second part was related to clinical data, the third part was related to diagnostic data, the fourth part was related to treatment data and the fifth part was related to histological data. Data were analysed using SPSS statistical program. Result: We found 49 patients in this period (71% male 29% female). The mean age was 3.5 years (1 month to 9 years). The male to female ratio was 2.5. The most common clinical symptoms were abdominal pain (63%). forty-three percent of patients had single symptoms and the others had combined symptoms such as abdominal pain and hematochezia. Only 8 patients with lower gastrointestinal bleeding had a Technetium scan and all of them were positive. Associated findings during surgery included appendicitis and invagination. Our sonographic imaging findings were nonspecific. In the pathologic report, 6 patients had gangrene in specimens and 2 perforations. The lining was of gastric type in 24 specimens pancreatic in 3 and mixed in 2 specimens. None of those with the gastric type of mucosa showed Helicobacter pylori infection. Conclusion: Regarding our findings, clinical findings of Meckel's diverticulum in our study were rather the same as in the literature. Pathologic examination of specimens revealed that most diverticula were lined by gastric type of mucosa. None of those with the gastric type of mucosa showed Helicobacter pylori infection.

scholarly journals Meckel’s diverticulum: a cadaveric case report

2017 ◽  
Vol 5 (4) ◽  
pp. 1715
Author(s):  
Shreya Sharma ◽  
Preksha Sharma ◽  
Sangita Chauhan
Keyword(s):  
Small Intestine ◽  
Meckel’S Diverticulum ◽  
Muscularis Propria ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Vitelline Duct ◽  
Ileocecal Junction ◽  
Mesenteric Border ◽  
The Common ◽  
Heterotopic Tissue

Meckel's diverticulum is the common congenital anamoly of the gastrointentestinal tract, caused due to failure of involution of vitelline duct after seventh or eighth week of intra-uterine life. It is usually present within the last 90cm of terminal ileum.  Histologically, Meckel's diverticulum consists of all layers of small intestine. Rarely, heterotopic tissue is present derived from gastric or pancreatic tissue. In the case presented here, Meckel's diverticulum was found on the ante mesenteric border of the ileum with no peritoneal attachment during routine Anatomy cadaveric dissection. It was present 26cm proximal to the ileocecal junction, with no attachment to umbilicus. It’s blood supply was derived from the vitelline artery. Histological examination revealed the presence of 3 layers: mucosa, submucosa and muscularis propria with no heterotopic tissue.

scholarly journals Embolization of a Life-Threatening Hemorrhage from Meckel's Diverticulum in an Adult

2017 ◽  
Vol 77 (5) ◽  
pp. 309
Author(s):  
Chang Rae Kim ◽  
Jong Woo Kim ◽  
Sung Su Byun ◽  
Jeong Ho Kim
Keyword(s):  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Life Threatening
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