Limits...
Intussusception of the Meckel's diverticulum within its own lumen: Unknown complication.

Kassir R, Debs T, Boutet C, Baccot S, Abboud K, Dubois J, Bourlier AB, Yvorel V, Tiffet O - Int J Surg Case Rep (2015)

Bottom Line: Intestinal obstruction is a more common complication in adults, whereas in children, bleeding is the more common complication.It is important to differentiate this rare pathological feature of MD from other entities as the treatment is surgical rather than medical.Abdominal surgeons should bear in mind this rare entity.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, CHU Hospital, Jean Monnet University, Saint Étienne, France. Electronic address: Radwankassir42@hotmail.Fr.

No MeSH data available.


Related in: MedlinePlus

The intra-operative finding of an intussusception (arrowhead) of the Meckel’s diverticulum within its own lumen (1 = MD, 2 = meso, 3 = ileum). A and B = laparoscopic view. C = intussusception of the MD. D = intussusception reduction. E = A midline incision.
© Copyright Policy - CC BY-NC-SA
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4430118&req=5

fig0015: The intra-operative finding of an intussusception (arrowhead) of the Meckel’s diverticulum within its own lumen (1 = MD, 2 = meso, 3 = ileum). A and B = laparoscopic view. C = intussusception of the MD. D = intussusception reduction. E = A midline incision.

Mentions: We report the case of a 23-year-old man who was admitted to the emergency room due to a diffuse abdominal pain. He had crampy abdominal pain,without fever. Physical examination revealed a severe diffuse abdominal pain. Laboratory findings showed a white blood cell count of 13,000 per microliter of blood. Abdominal Ultrasound and abdominal CT scan showed invagination of MD (Figs. 1 and 2). The diagnosis was intussuscepted Meckel’s diverticulum. The exploratory laparoscopy revealed the presence of intussusception of the Meckel’s diverticulum within its own lumen (Fig. 3). The laparoscopy was converted to a laparotomy. A midline incision was made. Segmental resection of the small intestine was performed. Microscopic examination disclosed an ectopic gastric and pancreatic mucosa (Fig. 4). The patient tolerated the procedure and the postoperative period was uncomplicated. The patient was discharged on the third post-operative day. Histology showed acute appendicitis without perforation.


Intussusception of the Meckel's diverticulum within its own lumen: Unknown complication.

Kassir R, Debs T, Boutet C, Baccot S, Abboud K, Dubois J, Bourlier AB, Yvorel V, Tiffet O - Int J Surg Case Rep (2015)

The intra-operative finding of an intussusception (arrowhead) of the Meckel’s diverticulum within its own lumen (1 = MD, 2 = meso, 3 = ileum). A and B = laparoscopic view. C = intussusception of the MD. D = intussusception reduction. E = A midline incision.
© Copyright Policy - CC BY-NC-SA
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4430118&req=5

fig0015: The intra-operative finding of an intussusception (arrowhead) of the Meckel’s diverticulum within its own lumen (1 = MD, 2 = meso, 3 = ileum). A and B = laparoscopic view. C = intussusception of the MD. D = intussusception reduction. E = A midline incision.
Mentions: We report the case of a 23-year-old man who was admitted to the emergency room due to a diffuse abdominal pain. He had crampy abdominal pain,without fever. Physical examination revealed a severe diffuse abdominal pain. Laboratory findings showed a white blood cell count of 13,000 per microliter of blood. Abdominal Ultrasound and abdominal CT scan showed invagination of MD (Figs. 1 and 2). The diagnosis was intussuscepted Meckel’s diverticulum. The exploratory laparoscopy revealed the presence of intussusception of the Meckel’s diverticulum within its own lumen (Fig. 3). The laparoscopy was converted to a laparotomy. A midline incision was made. Segmental resection of the small intestine was performed. Microscopic examination disclosed an ectopic gastric and pancreatic mucosa (Fig. 4). The patient tolerated the procedure and the postoperative period was uncomplicated. The patient was discharged on the third post-operative day. Histology showed acute appendicitis without perforation.

Bottom Line: Intestinal obstruction is a more common complication in adults, whereas in children, bleeding is the more common complication.It is important to differentiate this rare pathological feature of MD from other entities as the treatment is surgical rather than medical.Abdominal surgeons should bear in mind this rare entity.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, CHU Hospital, Jean Monnet University, Saint Étienne, France. Electronic address: Radwankassir42@hotmail.Fr.

No MeSH data available.


Related in: MedlinePlus