Perforated Meckel diverticulum

Kloss, Brian T.; Broton, Claire E.; Sullivan, Anne‐Marie

doi:10.1007/s12245-010-0213-9

Cited by 21 publications

(15 citation statements)

References 8 publications

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“…Meckel's diverticulum was first described in 1809 in an autopsy series by Johann Meckel, the German anatomist/embryologist [1]. Symptomatic presentation of Meckel's diverticula is mostly seen in male pediatric population and include gastrointestinal haemorrhage, diverticulitis, obstruction, and perforation [3,4].…”

Section: Discussionmentioning

confidence: 99%

“…Symptomatic presentation of Meckel's diverticula is mostly seen in male pediatric population and include gastrointestinal haemorrhage, diverticulitis, obstruction, and perforation [3,4]. Perforation of Meckel's diverticulum is one of the uncommon complications with high morbidity and mortality, almost always preceded by diverticulitis [1][2][3]. The perforations can be NSAID induced [5], fish or chicken bone impaction [6,7].…”

Section: Discussionmentioning

confidence: 99%

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Steroid Induced Perforation of Meckel's Diverticulum in an Adult

Senthilnathan¹,

Sivakumar²,

Dey³

et al. 2017

JCR

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Background: Perforation is one of the rare complications of Meckel's diverticulum (MD) which carries high morbidity and mortality. Being a congenital variant, complicated MD is usually seen in pediatric population. Case Report: An adult male diagnosed with psoriasis and on systemic steroids for last three months presented with generalized abdominal pain, and distension. Free fluid and gas in abdomen were detected in erect abdominal X-ray and CT scan. Exploratory laparotomy showed perforated MD. Histopathology report showed presence of ulceration and perforation near ectopic gastric mucosa. The normal diverticular mucosa was ulcerated and perforation was due to persistent low pH inside the diverticulum. Conclusion: High dose systemic steroid therapy may cause spontaneous MD perforation. Detailed history coupled with high degree of clinical and radiological suspicion is required to clinch the pre-operative diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Steroid Induced Perforation of Meckel's Diverticulum in an Adult

Senthilnathan¹,

Sivakumar²,

Dey³

et al. 2017

JCR

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“…Meckel's diverticulum is the remnant of the vitelline or omphalomesenteric duct found in 2 percent of the general population and is the commonest congenital anomaly of the gastrointestinal tract [3]. This anomaly was first described by Ruysch in 1701 [1].…”

Section: Discussion:-mentioning

confidence: 99%

Perforation of Meckel’s Diverticulum by Chicken Wishbone – A Case Report and Review of Literature.

Banerjee¹,

Dasgupta²,

Mondal³

et al. 2016

IJAR

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“…Only about 4-16% of cases will lead to complications 3 , which include haemorrhage, intussusceptions, inflammation and, occasionally, perforation, which occurred in our patient. Complications are much more common in males, and the incidence of complications decreases with age, with the majority occurring in pediatric population 4 .…”

Section: Discussionmentioning

confidence: 99%

Perforated Meckel’s Diverticulum- A Rare Case Presentation

R¹,

Yashas²,

Anmol³

et al. 2013

jemds

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Perforation of a Meckel's diverticulum is a rare complication. This case report is about a 9yr old child who presented to our emergency department with diffuse abdominal pain, vomiting and fever. He had leucocytosis and free fluid in the peritoneal cavity on USG. Erect x-ray abdomen shows gas under the diaphragm. A perforated appendix or a bowel perforation was suspected and a diagnosis of a ruptured MD was finally made by laparotomy. INTRODUCTION:MD is a true intestinal diverticulum that results from the failure of the vitelline duct (omphalomesenteric duct) to obliterate during the 5 th week of fetal development 1 . MD is the most common congenital abnormality occurring in about 2% of the population. Meckel diverticulum is typically lined by ileal mucosa, but other tissue types are also found with varying frequency. The heterotopic mucosa is most commonly gastric (present in 50% of all MD's) and pancreatic mucosa is encountered in about 5% of diverticula; less commonly, these diverticula may harbour colonic mucosa 2 . This is important because peptic ulceration of this or adjacent mucosa can lead to painless bleeding, perforation, or both.

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Perforated Meckel diverticulum

Cited by 21 publications

References 8 publications

Steroid Induced Perforation of Meckel's Diverticulum in an Adult

Steroid Induced Perforation of Meckel's Diverticulum in an Adult

Perforation of Meckel’s Diverticulum by Chicken Wishbone – A Case Report and Review of Literature.

Perforated Meckel’s Diverticulum- A Rare Case Presentation

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