Meckel's diverticulum in the adult

Abstract

The management of Meckel's diverticulum (MD) incidentally detected in adults remains controversial. To assess the risk involved in excision of such diverticula and the incidence of complications arising from MD in adult life, we analysed 260 cases of MD found at laparotomy in a baseline population during a 15-year period. There were 148 symptomless and 112 symptom-producing diverticula, with intestinal obstruction as the most common complication. Assuming a 2 per cent general incidence of MD, the complication rate in these adult patients was 0.03 per cent per year. The calculated lifetime risk of complication from MD was 3.7 per cent at age 16 years, falling to zero in old age. Excision of an incidentally detected MD entailed a 6 per cent rate of major complications. Twenty-eight symptomless diverticula were not excised, and follow-up revealed no complications in these cases. In adults an incidentally discovered, symptomless Meckel's diverticulum should be left in place.

Enterocutaneous Fistula Formation of Meckel's Diverticulum via the Urachal Cyst in an Adult Patient: A Case Report and Literature Review

“…The lifetime incidence of MD to be presented with symptoms is 4-6.4% (8,25). A comprehensive study made on patients with symptomatic MD displayed that 40% of them show symptoms before 10 years old (26).…”

“…Meckel's diverticulum occurs in 0.4-4% of the population (but only 5% of people with it encounter problems) and are found two times more frequently in males compared with females (1)(2)(3)(4)(5)(6)(7)(8). The total lifetime complication (intestinal hemorrhage, intestinal obstruction, inflammation and rarely tumoural formation) incidence is 4-5% and are usually seen in childhood (9)(10)(11)(12)(13)(14).…”

Laparoscopic technique of resection of omphalomesenteric duct in the newborns

“…У детей старшего возраста данный порок встречается крайне редко [6]. Кровотечение, обструкция и перфорация -наиболее частые осложнения аномалии ОМП [7]. Постоянным симптомом открытого ОМП является истечение через пупочное кольцо наружу кишечно-го содержимого.…”

Meckel’s diverticulum detected by computed tomographic enterography: Report of 3 cases and review of the literature

“…However, MD can present with several GI manifestations, such as GI bleeding, bowel obstruction, diverticulitis, or perforation. Approximately 4% of MD patients develop a complication during their lifetime (2).…”

“…Most patients are asymptomatic; however, in those who develop symptoms, the disease can mimic other abdominal disorders, such as inflammatory bowel disease, gastrointestinal (GI) ulcers, and appendicitis. The complication rate was estimated at approximately 4% during the total lifetime (2). GI bleeding is a common complication in symptomatic MD patients.…”