A Pediatric Case of Inverted Meckel’s Diverticulum Presenting with Cyclic Vomiting-like Symptoms: A Case Report and Literature Review

Endo, Yoshiko; Jimbo, Keisuke; Arai, Noriko; Ochi, Takanori; Suzuki, Mitsuyoshi; Yamataka, Atsuyuki; Shimizu, Toshiaki

doi:10.3390/children9121817

Cited by 2 publications

(2 citation statements)

References 35 publications

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“…This may be associated with massive gastrointestinal bleeding ( 4 , 5 , 7 , 8 ) and diverticular inversion. Endo et al ( 17 ) found that radionuclide scanning imaging may not be effective in the diagnosis of MD with inversion, and the diagnostic rate of DBE for these cases was 100%. The nuclide is easily dispersed and difficult to concentrate in the case of massive hemorrhage of digestive tract.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of Inverted Meckel’s diverticulum by double-balloon enteroscopy: a case report

Hu,

Du,

Wen

et al. 2024

AME Case Rep

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Background Meckel’s diverticulum (MD) is the most common congenital defect of the gastrointestinal tract, occurring in about 1% to 2% of population. Most MD are rarely symptomatic, with presenting symptoms including diverticulitis, digestive tract hemorrhage and intestinal obstruction. The semblance of symptoms to enteritis and appendicitis makes preoperative diagnosis challenging. Current diagnosis of MD includes technetium-99m pertechnate scan, laparoscopic or intraoperative findings and examining surgical specimens. Here, we report that a double-balloon enteroscopy (DBE) improves the diagnosis accuracy of MD and presents high clinical application value. Case Description A 12-year-old male patient was admitted to our hospital due to recurrent abdominal pain and black stools for more than half a year, recurrence for 2 days, accompanied by vomiting. The boy had anemic appearance, with periumbilical tenderness, and no mass was detected upon palpations. Past medical records revealed recurrent abdominal pain episodes thrice. Pre-surgery 99 Tc m O 4 -single-photon emission computed tomography/computed tomography (SPECT/CT) imaging was performed but did not reach the condition for diagnosis of MD. DBE was then performed and identified an upper ileum mass. After surgery, it was confirmed that the patient was an inverted MD, and the pathology showed gastric mucosa and pancreatic tissue. The patient recovered well after surgery and was discharged. Conclusions DBE is not widely used in the diagnosis of MD, but its accuracy is higher than that of radionuclide scanning imaging. In addition, several advantages such as hemostasis treatment, direct detection and observation of the diverticulum, and demarcation of the site and scope of the lesion prior to surgery brings high clinical application value.

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Section: Discussionmentioning

confidence: 99%

Diagnosis of Inverted Meckel’s diverticulum by double-balloon enteroscopy: a case report

Hu,

Du,

Wen

et al. 2024

AME Case Rep

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“…Another type of complication that can occur is inversion of the diverticulum, which may lead to intussusception. Yorishi et al performed a literature review on cases of inverted Meckel diverticulum and found 31 cases with intussusception out of 74 cases with inverted MD [15].…”

Section: Discussionmentioning

confidence: 99%

Management of Littre Hernia—Case Report and Systematic Review of Case Reports

Răcăreanu

Preda

et al. 2023

JCM

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Littre hernia is a rare type of hernia in which a Meckel diverticulum is found in the hernia sac. Given the rare nature of this disease, little data on demographics and surgical management exists. In this article, we provide a case report of a strangulated inguinal Littre hernia and perform a systematic review of the literature. The PubMed database was searched on 5 March 2022, and all cases of Littre hernia in adults that had English abstracts or full-text were analyzed. Our primary objective was to evaluate the surgical management and outcomes of this particular type of hernia, and our secondary objectives were to assess demographic characteristics, presentation particularities, and recurrence rates. We identified 89 articles with 98 cases, including our own. Results show a high prevalence of complications described intraoperatively, with strangulation being present in up to 38.46% of patients. The laparoscopic approach was utilized in patients with femoral, inguinal, and umbilical hernias. The most commonly performed type of resection was MD resection, followed by bowel resection, while a minority of cases (5.48%) remained unresected. Mesh repair was more frequently performed in patients with MD resection. A mortality rate of 8.7% in patients who underwent bowel resection was found. A relatively high number of reports of ectopic tissue (21.21%), ulceration (12.12%), and tumors (9.09%) were found. The average follow-up was 19.5 ± 10.29 months, with no hernia recurrence. In conclusion, most cases are admitted in an emergency setting, and intestinal obstruction is frequently associated. A minimally invasive approach can be an option even for complicated hernias. MD resection or bowel resection is usually employed, depending on the extent of ischemic lesions. Patients undergoing bowel resection may be prone to worse outcomes.

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A Pediatric Case of Inverted Meckel’s Diverticulum Presenting with Cyclic Vomiting-like Symptoms: A Case Report and Literature Review

Cited by 2 publications

References 35 publications

Diagnosis of Inverted Meckel’s diverticulum by double-balloon enteroscopy: a case report

Diagnosis of Inverted Meckel’s diverticulum by double-balloon enteroscopy: a case report

Management of Littre Hernia—Case Report and Systematic Review of Case Reports

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