Sonographic findings in torsion of a Meckel diverticulum

Larson, James M.; Ellinger, D

doi:10.2214/ajr.152.5.1130

Cited by 10 publications

(6 citation statements)

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“…Laparoscopy, used in 4 cases including 1 pediatric case, was reported to be helpful for both diagnosis and treatment [9, 10]. The preoperative diagnosis was appendicitis with or without perforation in 5 of 6 reported pediatric cases [6, 11 12 13 14 15]. The fact that the mean time from onset of pain to surgery was 2.2 days in a literature review of pediatric cases indicates that making a preoperative diagnosis remains challenging.…”

Section: Discussionmentioning

confidence: 99%

Torsion of Meckels Diverticulum in a Child

Nose¹,

Okuyama²,

Sasaki³

et al. 2013

Case Rep Gastroenterol

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Meckel’s diverticulum (MD) is a common congenital anomaly of the gastrointestinal tract, the majority of cases of which are clinically silent. Patients with asymptomatic MD can unexpectedly develop acute abdominal pain. Making a diagnosis of MD is often difficult due to the lack of specific symptoms caused by this condition. Diagnostic laparotomy can be useful for making an accurate and prompt diagnosis of complicated MD. We herein describe a pediatric case of torsion of a MD in whom we performed laparoscopic-assisted emergency surgery. The patient was an 11-year-old male who developed sudden severe right lower abdominal pain. Clinical and laboratory findings were suggestive of appendicitis, however computed tomography scans showed a large cystic mass in the pelvis. Exploratory laparoscopy led to a diagnosis of torsion of a MD, and wedge resection of the gangrenous MD was performed through an umbilical port incision. The patient’s postoperative course was uneventful. We conclude that diagnostic laparoscopy followed by laparoscopy-assisted Meckel’s diverticulectomy via an umbilical incision is useful in the treatment of acute abdomen caused by MD.

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Section: Discussionmentioning

confidence: 99%

Torsion of Meckels Diverticulum in a Child

Nose¹,

Okuyama²,

Sasaki³

et al. 2013

Case Rep Gastroenterol

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“…Gangrene of the MD due to axial torsion is a very rare complication [6][7][8][9][10] and may present with non-specific abdominal pain, nausea, and vomiting, particularly in children. It is quite difficult to diagnose MD preoperatively based on radiologic methods.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8][9][10] Therefore, computerized tomography should be done in the acute abdomen cases of suspected MD or its complication. A scintigraphic examination was not performed in all cases.…”

Section: Discussionmentioning

confidence: 99%

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Axial Torsion and Gangrene of Meckel's Diverticulum: The First Infantile Case Report

Uygun¹,

Okur²,

Otcu³

2013

Turkiye Klinikleri J Med Sci

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“…Ultrasound features of torsion of MD around the vitelline duct has been described. 7,8 The appearance on computed tomography (CT) scan of torted MD is also described in a child. 6 The radiologic features are nonspecific and are usually correlated retrospectively.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Resection of an Axially Torted Meckel’s Diverticulum in a 13-Year-Old

Prasad

Chui²,

Jacobsen³

2006

Journal of Laparoendoscopic & Advanced Surgical Techniques

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We report an unusual case of acute abdomen due to axial torsion and infarction of a Meckel's diverticulum in a 13-year-old boy and illustrate the versatility of laparoscopy in the diagnosis and management of acute surgical abdomen in children. We believe that this is only the third case reported in a child of torsion of a Meckel's diverticulum and the first to be managed by laparoscopic resection.

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Sonographic findings in torsion of a Meckel diverticulum

Cited by 10 publications

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Torsion of Meckels Diverticulum in a Child

Torsion of Meckels Diverticulum in a Child

Axial Torsion and Gangrene of Meckel's Diverticulum: The First Infantile Case Report

Laparoscopic Resection of an Axially Torted Meckel’s Diverticulum in a 13-Year-Old

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Sonographic findings in torsion of a Meckel diverticulum

Cited by 10 publications

References 0 publications

Torsion of Meckels Diverticulum in a Child

Torsion of Meckels Diverticulum in a Child

Axial Torsion and Gangrene of Meckel's Diverticulum: The First Infantile Case Report

Laparoscopic Resection of an Axially Torted Meckel’s Diverticulum in a 13-Year-Old

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Torsion of Meckels Diverticulum in a Child

Torsion of Meckels Diverticulum in a Child