Preoperative Diagnosis of Meckel??s Diverticulum by Pertechnetate Scan and Laparoscopic Resection

Heinzelmann, M; Schöb, O.; Schlumpf, R.; Decurtins, M; Himmelmann, Andreas; Largiadèr, F

doi:10.1097/00019509-199410000-00014

Cited by 8 publications

(6 citation statements)

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“…The reported accuracy rate of barium studies is around 47% and is higher for adults than children [15]. As most symptomatic diverticula contain heterotopic gastric tissue, radionuclide imaging using technetium-99m pertechnetate scans is the method of choice [15][16][17]. However, a bleeding MD may give a false-negative result by pertechnetate imaging despite the presence of heterotopic gastric mucosa.…”

Section: Discussionmentioning

confidence: 99%

Meckel’s Diverticulum: Comparison of Incidental and Symptomatic Cases

2004

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Although Meckel's diverticulum is the commonest congenital gastrointestinal anomaly, there is still debate concerning the proper management of asymptomatic diverticula. Records of all patients whose Meckel's diverticulum was resected at our hospitals between 1990 and 2002 were reviewed. Clinical characteristics, mode of presentations, and management for all patients were analyzed. Meckel's diverticula were resected in 68 patients. Patients were divided into two groups: the incidental group included 40 patients (24 males) in whom the diagnosis of diverticula was incidental. The symptomatic group included 28 patients (20 males) who presented with diverticulum-related complications. Preoperative diagnosis was possible in only four cases. In four patients from the symptomatic group, Meckel's diverticula were found and left untouched during a previous laparotomy. There was no significant difference between the two groups with respect to gender (p = 0.48). Patients in the symptomatic group were significantly younger than patients in the incidental group (p = 0.002). The diverticula in the symptomatic group tended to be longer (p = 0.001) with a narrower base (p = 0.001) than the diverticula in the incidental group. A diameter of < or = 2 cm was significantly associated with more complications (p = 0.01). Heterotopic tissue was present more significantly in the symptomatic group than the incidental group (p = 0.01). There was no significant difference in the morbidity rate between the two groups (p = 0.71), and there was no mortality in either group. Preoperative diagnosis of Meckel's diverticulum is difficult and should be kept in mind in cases of acute abdomen. Resection of incidentally found diverticula is not associated with increased operative morbidity or mortality.

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Section: Discussionmentioning

confidence: 99%

Meckel’s Diverticulum: Comparison of Incidental and Symptomatic Cases

2004

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“…In the present case, the Meckel's diverticulum became clinically apparent by bleeding, which is one of several complications, including small bowel obstruction, inflammation and ulceration (5, 12). Aspirin, which is normally highly concentrated in the small bowel (12), was probably the trigger factor for the bleeding (3, 11) in the presence of ectopic gastric mucosa in the diverticulum.…”

Section: Discussionmentioning

confidence: 99%

Meckel's diverticulum and mesenterium commune in a patient with gastrointestinal bleeding

Salem

Benslimane²,

Salve

et al. 2002

Acta Radiologica

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Lower gastrointestinal bleeding after aspirin intake was reported in a 64-year-old woman. Gastroscopy, colonoscopy and selective mesenteric angiography failed to reveal the source of hemorrhage; only a midgut malrotation was suggested by angiography. Small bowel enema finally demonstrated a blind sac on the antimesenteric border of the ileum, corresponding to a Meckel's diverticulum. This embryological remnant of the vitelline duct was associated with a mesenterium commune. Laparoscopy confirmed the small bowel study, and resection of the diverticulum was easily carried out. It is, to our knowledge, the first time that these developmental abnormalities have been preoperatively diagnosed together.

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“…It has been suggested that asymptomatic MD should be left in situ, since the overall rate of complications is low (∼4%) [14]. Heinzelmann et al recommended a laparoscopic resection of the MD in an emergency and a planned operation if no small bowel resection is necessary [4]. Sanders, however, suggests laparoscopic removal of MD only in cases that are very large (>5 cm) or have an omphalomesenteric band at risk for torsion [12].…”

Section: Discussionmentioning

confidence: 99%

The role of laparoscopy in symptomatic Meckel's diverticulum

et al. 1999

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We report two cases of symptomatic Meckel's diverticulum in adults with recurrent abdominal pain and episodes of minor lower gastrointestinal bleeding. In case 1, the diagnosis was suggested by (99m)Tc pertechnetate scan and confirmed by laparoscopy; whereas in case 2, only diagnostic laparoscopy was performed because of suspected appendicitis. A segmental small bowel resection with attached diverticulum was performed extracorporeally after exteriorization through the umbilical port site in both cases.

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Preoperative Diagnosis of Meckel??s Diverticulum by Pertechnetate Scan and Laparoscopic Resection

Cited by 8 publications

References 0 publications

Meckel’s Diverticulum: Comparison of Incidental and Symptomatic Cases

Meckel’s Diverticulum: Comparison of Incidental and Symptomatic Cases

Meckel's diverticulum and mesenterium commune in a patient with gastrointestinal bleeding

The role of laparoscopy in symptomatic Meckel's diverticulum

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