A Rare Case of Invagination of Meckel's Diverticulum in a Child

Cherevatenko, A.A.; Шапкина, А. Н.; Sedykh, I.S.; Shevchuk, A.S.

doi:10.17238/pmj1609-1175.2018.1.95-96

Cited by 3 publications

(1 citation statement)

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“…ДМ нередко является находкой при операциях на органах брюшной полости. Типичная локализация брюшная полость в пределах подвздошной кишки на расстоянии 40-70 см от Баугиновой заслонки [1][2][3][4][5][6][7]10,14,19]. В литературе представлены случаи сочетания ДМ с диафрагмальными грыжами (ДГ), гетеротопией ткани поджелудочной железы (ГТПЖ) в самом дивертикуле и в различных отделах желудочно-кишечного тракта [8][9][17][18].…”

Section: Introductionunclassified

Diagnostics and features of the course of Meckel’s diverticulus of thoracic localization with combined developmental malformations

Ergashev,

Samatov,

Markaev

et al. 2024

APPS

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Section: Introductionunclassified

Diagnostics and features of the course of Meckel’s diverticulus of thoracic localization with combined developmental malformations

Ergashev,

Samatov,

Markaev

et al. 2024

APPS

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Inverted Meckel’s diverticulum as a cause of intestinal intussusception in a child: A case report

Chundokova,

Golovanev,

Ivanov

2024

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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One of the causes of intussusception is the presence of Meckel’s diverticulum. Although Meckel’s diverticulum is the most common anomaly of the gastrointestinal tract, isolated cases of intussusception caused by the inversion of Meckel’s diverticulum into the lumen of the ileum have been described in world literature. Description of case. The patient was a 2-year-11-month boy who was transported by an ambulance team, with complaints of paroxysmal abdominal pain and single vomiting. Palpation revealed lower abdominal pain without signs of peritoneal irritation. The child underwent an ultrasound examination of the abdominal cavity, which revealed a layered structure consisting of the wall of the large and small intestines in the right lower quadrant. Thus, a diagnosis of intussusception was established. An attempt to conservatively straighten the intussusception during pneumoirrigoscopy was ineffective. Emergency laparoscopy was performed, and ileocecal intussusception was diagnosed, which was eliminated without technical difficulties. During the inspection of the ileum, a crater-shaped depression with a dense formation extending from it into the intestinal lumen was discovered on its antimesenteric edge 30 cm from the ileocecal angle. The operation was continued with a minilaparotomy in the right iliac region. Meckel’s diverticulum was manually inverted from the ileum, tied at the base, and cut off with the stump immersed in a purse-string suture. The postoperative period was event-free. On day 5 after the operation, the child was discharged home in a satisfactory condition. For any intussusception in children aged 1 year, the anatomical causes must be excluded, except for the possibility of an inverted Meckel’s diverticulum. Therefore, after successful intestinal disinvagination, a thorough revision of the ileum is necessary.

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Diagnosis and Treatment of Meckel Diverticulum Complications in Children

Barskaya

Варламов

Zavyalkin

et al. 2020

Mediko-farmacevtičeskij žurnal "Pulʹs"

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Meckel diverticulum is a congenital abnormality of the intestinum appearing due to the failure of the vitelline duct closure. Meckel diverticulum may have no clinical signs however in 20-25% its complications may cause different acute surgical conditions demanding surgical interventions. These complications may appear with the symptoms of abdominal pain, intestinal hemorrhage and intestinal obstruction. The aim of the study was to analyze the results of treatment of Meckel diverticulum complications in children. We have analyzed the results of diagnostics and treatment of 69 children aged between 10 months and 13 years. All the children were admitted to the surgical department of Samara Regional Clinical Hospital named after V.D. Seredavin between 2013 and October 2020. The presented complications of Meckel diverticulum were: diverticulitis (37), intestinal bleeding (17), intestinal volvulus (9), intestinal obstruction (3), intussusception (3). Most frequently the complications were present in infants and preschool children. All the patients underwent clinical, laboratory, ultrasound, X-Ray (when necessary) and intraluminal endoscopic (when necessary) examinations. However, in most cases complications were diagnosed during laparoscopy. All the children underwent surgical treatment. Most of the surgeries were laparoscopic (54, 35 of them were video assisted mini laparotomies). Two patients presented postoperative complications: anastomotic leaks; both of the children required repeated surgeries. The reasons of complications were underestimation of the paients’ conditions at the moment of surgical interventions and significance of the inflammatory process in the abdominal cavity. We employed ileostomies to those children which we closed 3 weeks after that when the general conditions were appropriate. We had no lethal cases. The average hospital stay was 11,6 days.

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A Rare Case of Invagination of Meckel's Diverticulum in a Child

Cited by 3 publications

References 0 publications

Diagnostics and features of the course of Meckel’s diverticulus of thoracic localization with combined developmental malformations

Diagnostics and features of the course of Meckel’s diverticulus of thoracic localization with combined developmental malformations

Inverted Meckel’s diverticulum as a cause of intestinal intussusception in a child: A case report

Diagnosis and Treatment of Meckel Diverticulum Complications in Children

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