Acute appendicitis with unusual dual pathology

Riddiough, Georgina E; Bhatti, Imran; Ratliff, David

doi:10.1016/j.ijscr.2011.10.008

Cited by 6 publications

(6 citation statements)

References 4 publications

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“…In the literature review including the present case, bloody stool was observed in 55/74 (74.3%) of adults and 3/9 (33.3%) of children, with a significant difference ( p = 0.019) ( Table 1 ). Although it may not be sufficient to conclude that the diagnosis of inverted Meckel’s diverticulum is usually delayed in pediatric cases because of the absence of bloody stool, eight pediatric cases, excluding the present case, resulted in ileus due to intussusception, and imaging findings of intussusception were observed significantly more often in children than in adults ( p = 0.001) [ 2 , 3 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 ]. On the other hand, adult cases may have significantly more anemia due to chronic intestinal hemorrhage ( p < 0.0001) ( Table 1 ), because the adult cases do not present with the acute onset of intussusception, unlike the pediatric cases.…”

Section: Discussionmentioning

confidence: 59%

“…In total, 94 related articles were retrieved. There were 29 articles for 74 adult [ 3 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 ] and 9 pediatric (age < 18 years) [ 2 , 26 , 27 , 28 , 29 , 30 , 31 , 32 ] cases including the present case] that reported the course of each case in detail. These included 55 male and 28 female patients with onset ages of 2 to 78 years.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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Asymptomatic Meckel’s diverticulum cases are not uncommon, leading to diagnostic difficulties in cases of atypical presentations with only gastrointestinal symptoms other than bloody stool. A nine-year-old boy diagnosed as having cyclic vomiting because of recurrent abdominal pain and vomiting for 6 months was referred to our institute and hospitalized due to worsening symptoms. After admission, abdominal ultrasonography showed the multiple concentric ring sign and a pseudokidney sign at the lower ileum, leading to the diagnosis of ileo-ileal intussusception, but the gastrointestinal symptoms and ultrasonic findings disappeared spontaneously. Transanal, double-balloon, intestinal endoscopy demonstrated a pedunculated polyp-like structure, and surgical resection was performed. An inverted diverticulum was found in the resected intestinal lumen, and ectopic gastric mucosa was identified histologically, leading to the diagnosis of inverted Meckel’s diverticulum. In pediatric cases involving periodic attacks of vomiting and abdominal pain, unnecessary emergent surgery could be avoided by cautious imaging evaluation and consideration of ileo-ileal intussusception with advanced lesions of an inverted Meckel’s diverticulum as a differential diagnosis, without facilely diagnosing cyclic vomiting. In addition, previous reports of inverted Meckel’s diverticulum were reviewed, and the results were compared between adult and pediatric groups in each category.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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“…Although variable, it is most commonly located proximal to the iliocecal junction at a distance between 60 and 100 cm. [5,6] It is the result of a persisting vitello intestinal duct that normally disappears by the 5th to 7th week of intrauterine life. When it persists it can result in a number of diverse anomalies like enteroumbilical fistula, umbilical sinus, persistent fibrous cord, mesodiverticular vascular band, omphalomesenteric duct cyst, strawberry umbilical tumor.…”

Section: Discussionmentioning

confidence: 99%

DOI: 10.14260/jemds/201 5 / 243 CASE REPORT J of Evolution of Med and Dent Sci/ eISSN - 2278 - 4802 , pISSN - 2278 - 4748/ Vol . 4 / Issue 10 / F eb 02 , 201 5 Page 17 09 AN UNUSUAL CASE OF SMALL BOWEL OBSTRUCTION DUE TO INCARCERATED LITTRE'S HERNIA: A CASE REPORT

Shoeb¹,

D²,

Siddalingeshwar³

et al. 2015

jemds

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Littre's hernia is a rare finding consisting of a Meckel's diverticulum inside a hernia sac. Clinically, it is indistinguishable from a hernia involving small bowel and therefore may be difficult to diagnose pre-operatively. We report a case of an incarcerated right inguinal hernia involving a Meckel's diverticulum. The diverticulum was resected, bowel anatomosis done and the hernia was repaired without complication.

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“…Although variable, it is most commonly located proximal to the iliocecal junction at a distance between 60 and 100 cm. 3,4 Rarely, a large Meckel's diverticulum can be involved in abdominal, femoral and inguinal hernias (Littre's hernia) with approximately half of all Littre's hernias involving the inguinal canal. 5,6 …”

Section: Discussionmentioning

confidence: 99%

A large incarcerated Meckel's diverticulum in an inguinal hernia

Horkoff

Smyth

Hunter

2014

International Journal of Surgery Case Reports

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INTRODUCTIONLittre's hernia is a rare finding consisting of a Meckel's diverticulum inside of a hernia sac. Clinically, it is indistinguishable from a hernia involving small bowel and therefore may be difficult to diagnose pre-operatively.PRESENTATION OF CASEWe report a case of an inguinal hernia involving an unusually large Meckel's diverticulum measuring 15 cm in length. The diverticulum was resected using a linear GI stapler and the hernia was repaired without complication.DISCUSSIONMeckel's diverticulum is an embryologic remnant of the vitelline duct occurring in 1–3% of the adult population with an estimated 4% becoming complicated and presenting with intestinal obstruction, infection, bleeding or herniation. Surgical resection is the recommended treatment for any Meckel's diverticulum causing symptoms. In the case of a Littre's hernia, resection of the diverticulum should be followed by repair of the fascial defect in a standard fashion.CONCLUSIONLittre's hernia, although rare, should be a consideration at the time of repair for any abdominal hernia involving small bowel as resection of the Meckel's diverticulum is critical in avoiding recurrent complications.

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Acute appendicitis with unusual dual pathology

Abstract: Consideration of Meckel's diverticulum although a rare diagnosis is imperative and this case raises the question "should surgeons routinely examine the bowel for Meckel's diverticulum at laparoscopy?"

Cited by 6 publications

References 4 publications

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

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

DOI: 10.14260/jemds/201 5 / 243 CASE REPORT J of Evolution of Med and Dent Sci/ eISSN - 2278 - 4802 , pISSN - 2278 - 4748/ Vol . 4 / Issue 10 / F eb 02 , 201 5 Page 17 09 AN UNUSUAL CASE OF SMALL BOWEL OBSTRUCTION DUE TO INCARCERATED LITTRE'S HERNIA: A CASE REPORT

A large incarcerated Meckel's diverticulum in an inguinal hernia

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