Meckels diverticulum in adults

Fabricus Hildanus was the first person who described this entity in Therefore, it is essential that anatomical and pathophysiological characteristics are known in detail in order to prevent complications which will result in morbidity and mortality. J Emerg Med ; Figure 3: a Gross resection specimen of ileum, showing Meckel's diverticulum yellow circle , with a tumor on top yellow arrow. Procedure guideline for gastrointestinal bleeding and Meckel's diverticulum scintigraphy. Further small bowel barium enema is a risky preposition in acute surgical situations.
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Meckel's diverticulum

It can be difficult to diagnose a complicated Meckel's diverticulum preoperatively as the radiological and clinical findings can resemble features of other acute abdominal disorders. Abstract Since Meckel's diverticulum MD is rarely diagnosed in adults, there is no consensus on what type of procedure to be performed for symptomatic MD and whether to resect or not an accidentally discovered MD. Bleeding from a MD containing ectopic gastric mucosa is the most common clinical presentation in younger patients, but it is rare in adult patients. Histopathology revealed mucosal lining epithelium of the intestine with stromal edema; congested blood vessels and presence of mixed inflammatory cells with prominent lymphoid follicles, suggestive of diverticulitis. Bowel walk did not reveal stricture or any other pathology. Meckel's diverticulum: a systematic review. Saudi J Gastroenterol.
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Meckel’s Diverticulum in Adults: A Preoperative Diagnostic Dilemma

If not treated, it generally results in perforation and peritonitis 9. The mean age of these patients was Abstract Background and Aims Various modalities have been used to diagnose Meckel's diverticulum MD in practice, but with their diagnostic accuracy deemed to be unsatisfactory for clinical practice. Small bowel bleeding should be considered in patients with gastrointestinal bleeding after performance of a normal upper and lower endoscopic examination. This may make a differential diagnosis difficult In clinical practice, MD is frequently suspected, often searched for, and seldom identified [ 13 ]. Since Meckel's diverticulum MD is rarely diagnosed in adults, there is no consensus on what type of procedure to be performed for symptomatic MD and whether to resect or not an accidentally discovered MD.
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Generally, accuracy refers to the ability of a modality to actually measure what it claims to measure. Thirty-five adults were identified with bleeding in MD over the study period, between and Presence of abnormal tissue on histopathological examination Diverticula with a broad base or those associated with complications such as hemorrhage are removed by bowel resection. Omphalomesenteric duct malformations. Although endoscopic therapeutic procedures have been used recently, the main treatment for Meckel's diverticulum is surgical resection. Double-balloon enteroscopy for diagnosis of Meckel's diverticulum: comparison with operative findings and capsule endoscopy.
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