Ileus Due To Meckel's Diverticulum: Cases Reports

Abstract

Meckel divertikülü ince bağırsağın en sık rastlanan doğumsal anomalisi olup genel nüfusta %1-3 oranında gö-rülür. Erişkinlerde en sık görülen komplikasyonu bağır-sak tıkanıklığıdır. Ameliyat öncesi tanının sıklıkla müm-kün olmaması ve ameliyatta gecikilmesi ciddi sorunlara neden olabilir. Bu yazıda, Meckel divertikülü nedeniyle bağırsak tıkanıklığı olan hastaların tanısı ve tedavi yöne-timi sunuldu.Anahtar Sözcükler: İleus; bağırsak tıkanıklığı; Meckel divertikülü.Meckel's diverticulum is the most common congenital anomaly of the small intestine, with an estimated incidence of approximately 1-3% in the general population. Intestinal obstruction is the most common complication in adult patients. Since accurate diagnosis before the operation is difficult, decision for surgery is delayed, and serious problems may be encountered. Here in, we present the diagnosis and management of our patients with intestinal obstruction due to Meckel's diverticulum.

Internal Hernia and Volvulus in an Adult Male Caused by Meckel’s Diverticulum: A Case Report

“…It also carries significant morbidity as the options for such screening would include CT scanning or diagnostic laparoscopy, as ultrasound has low diagnostic sensitivity and Magnetic Resonance Imaging (MRI) is not easily available and very expensive. The diagnostic process involves radiological imaging (X-rays, computed tomography, magnetic resonance imaging, ultrasonography, barium examination), angiography, nuclear imaging (Technetium-99m pertechnetate scanning), capsule-endoscopy and double-balloon enteroscopy, CT and Magnetic Resonance (MR) enterography [ 4 , 6 , 7 , 13 ]. Although availability of at least some of these diagnostic means is feasible, their specificity and sensitivity are low [ 2 , 13 ].…”

“…The diagnostic process involves radiological imaging (X-rays, computed tomography, magnetic resonance imaging, ultrasonography, barium examination), angiography, nuclear imaging (Technetium-99m pertechnetate scanning), capsule-endoscopy and double-balloon enteroscopy, CT and Magnetic Resonance (MR) enterography [ 4 , 6 , 7 , 13 ]. Although availability of at least some of these diagnostic means is feasible, their specificity and sensitivity are low [ 2 , 13 ]. Diagnostic laparoscopy or laparotomy are more accurate methods of diagnosing Meckel’s diverticulum but are not first line investigations [ 6 , 14 ].…”

“…In acute clinical presentations, most authors agree that an exploratory laparotomy is indicated in order to identify and treat the cause [ 13 ]. In case resection is required, it should include part of the ileum as well as Meckel’s diverticulum via diverticulectomy or wedge and segmental resection, depending on the size of the diverticulum [ 6 , 13 , 15 ]. In asymptomatic patients with incidentally discovered Meckel’s diverticulum the unanimous opinion on surgical management is yet to be reached.…”