Diagnosis and treatment of complicated Meckel’s diverticulum.

Abstract

Meckel’s diverticulum (MD) is relatively rare, although frequent anomaly of the digestive tract, as a rule, in the event of complications or incidentally at laparotomy, laparoscopy, contrast study of the bowel. Aim - to examine the results of diagnosis and treatment of complicated forms of MD. Material and methods. It was a prospective non-randomized study of 77 patients with complicated forms of MD, including 30 adults and 47 children. The ratio of males and females in adult patients were 2,3:1, and 8,4:1 in children. The incidence of complicated forms in adults was 0,61 per 100,000 adult, 6,6 per 100,000 child population. The study was used clinical, laparotomy methods, ultrasound examination, CT, endoscopy, laparoscopy. Results. Diagnostic methods can identify complications (often diverticulitis, intestinal obstruction, peritonitis), and source-cause of complications is established by laparoscopy or laparotomy. Videolaparoscopic operations (diverticulectomy) made of 35%, the option of surgical intervention depended on the size of the diverticulum, the severity of degradation and prevalence of the inflammatory process in the wall ileum. Postoperative complications were 6,49% of patients, there were no cases mortality.

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

“…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].…”

A foreign body (a coin) of Meckel’s diverticulum in a two-year-old child

“…Its incidence in boys is 3-5 times that in girls [6]. Only in 2% of cases MD manifests by certain symptoms, mostly in children under 2 years [7,8]. The main causes of these symptoms are development of pathological processes associated with derangement of circulation in the diverticulum or an inflammation secondary to acute appendicitis or invagination of the intestine.…”