Giant meckel's diverticulum

Koudelka, J; Králová, M; Preis, J

doi:10.1016/0022-3468(92)90519-d

Cited by 6 publications

(5 citation statements)

References 15 publications

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“…Gangrene secondary to axial torsion of a giant Meckel's diverticulum is seldom [3,4,5]. Tertiary small bowel obstruction belongs to the rarest but most serious complications [6,7,8,9]. …”

Section: Introductionmentioning

confidence: 99%

Small Bowel Obstruction due to a Giant Meckel's Diverticulum

et al. 2016

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Background: Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract, with an average length of 3 cm. Complications occur in 6.4% and most commonly include inflammation and gastrointestinal bleeding. Preoperative diagnosis is demanding and achieved in 4%. Case Report: A 34-year-old otherwise healthy patient presented with an acute abdomen due to small bowel obstruction. Computed tomography scan could not identify the underlying cause. Emergency laparotomy was performed, and a torqued giant Meckel's diverticulum measuring 17 cm was found as the underlying cause for the small bowel obstruction. Resection of the affected ileum segment and ileo-ileal reconstruction were performed. The postoperative course was uneventful. Conclusion: In extremely rare cases, small bowel obstruction in an otherwise healthy patient might be caused by torsion of a symptomatic giant Meckel's diverticulum.

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“…Gangrene secondary to axial torsion of a giant Meckel's diverticulum is seldom [3,4,5]. Tertiary small bowel obstruction belongs to the rarest but most serious complications [6,7,8,9]. …”

Section: Introductionmentioning

confidence: 99%

Small Bowel Obstruction due to a Giant Meckel's Diverticulum

et al. 2016

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“…Larger diverticula are more susceptible to complications (12). Though an entity called 'Giant Meckel's diverticulum' is described in some reports, there are controversies about length or the width of the diverticulum to be considered for calling it as 'giant' (13)(14)(15)(16) Efficacy of diagnostic imaging varies with this disease process. Plain films are usually nonspecific.…”

Section: Discussionmentioning

confidence: 99%

An Unusually Long Meckel’s Diverticulum

Kumar¹,

N²,

prabu³

et al. 2013

jemds

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Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal tract. It is the common differential diagnosis thought of in cases of lower abdomen pain especially in Appendicitis. When present, Meckel's diverticulum is around 2-5cm and its lifetime risk of complications is approximately 4-6%. Though an entity called 'Giant Meckel's diverticulum' is described in some studies, there are controversies about length or the width of the diverticulum to be considered for calling it a 'giant'. Usually Meckel's diverticulum is directed towards umbilicus or anterior abdominal wall due to its embryological origin. There are various ways of presentation of Meckel's diverticulum and pre-operative diagnosis is difficult except when suspected in cases of bleeding, or when ectopic mucosa is present. Intra-operatively diagnosed Meckel's diverticulum is treated mainly by resection, though the controversies arise for the treatment of co-incidentally found diverticula. We present a case of unusually long Meckel's diverticulum with its tip attached to root of mesentery and causing strangulation of ileal loops underneath it.

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“…Estos tumores pueden manifestarse como dolor abdominal por una torsión o ser un hallazgo durante la realización de laparotomías por otros motivos, por ejemplo, apendicitis aguda (25)(26)(27). Hay casos reportados de torsión de trompa sana en niñas premenárquicas (28,29). La presencia de hidrosálpinx es poco frecuente y generalmente se asocia a procesos infecciosos e inflamatorios locales tales como una apendicitis aguda o la presencia de cuerpos extraños como una válvula ventriculoperitoneal (30,31).…”

Section: Discussionunclassified

Tumores Anexiales en Niñas Y Adolescentes: Experiencia Del Hospital Clínico De La Universidad Católica De Chile, 1991-2003

et al. 2006

Rev. chil. obstet. ginecol.

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RESUMENSe analiza retrospectivamente la experiencia de los últimos 13 años en el manejo de la patología anexial quirúrgica en niñas y adolescentes menores de 19 años. Se revisa la forma de presentación clínica y los hallazgos anatopatológicos de 106 pacientes. Del total de lesiones anexiales, un 62% correspondieron a lesiones neoplásicas benignas y malignas, la mayoría de ellas originadas en el ovario. El riesgo de malignidad para las lesiones neoplásicas fue de un 26,7%. La neoplasia ovárica benigna más frecuente fue el teratoma maduro (31,1%). Las neoplasias malignas más frecuentes fueron las originadas en el estroma gonadal específico y en el tejido germinal (en conjunto 37,5% del total de neoplasias malignas). La forma de presentación clínica más frecuente fue el dolor abdominal habitualmente como manifestación de complicación de una neoplasia benigna. La vía de abordaje más frecuente fue por laparotomía y se privilegió la cirugía conservadora para preservar el potencial reproductivo. PALABRAS CLAVES: Adolescencia, infancia, tumores ováricos, patología anexial SUMMARYA retrospective analysis of a thirteen years experience in the surgical management of adnexal mass in girls and teenagers younger than 19 years old was done. We reviewed the clinical course and pathological findings of 106 patients. A 62% of adnexal masses were due to neoplasic formation, the majority of them originated in the ovary. Among the neoplasic lesions, the risk of malignacy was 26.7%. The most frequent benign ovarian neoplasia was the mature teratoma (31.1%). The two more frequent malignant neoplasias were those originated at the specific gonadal stroma and at germinal tissues (together representing 37.5% of malignant tumors). The most frequent symptom of clinical presentation was abdominal pain, as manifestation of a complicated benign neoplasic lesion. The most frequently used surgical approach was laparotomy. The main goal was privileging conservative management to preserve the reproductive potential.

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Giant meckel's diverticulum

Cited by 6 publications

References 15 publications

Small Bowel Obstruction due to a Giant Meckel's Diverticulum

Small Bowel Obstruction due to a Giant Meckel's Diverticulum

An Unusually Long Meckel’s Diverticulum

Tumores Anexiales en Niñas Y Adolescentes: Experiencia Del Hospital Clínico De La Universidad Católica De Chile, 1991-2003

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