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Query: UMLS:C0153429 (Meckel's diverticulum)
 1,196 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A new case of an enterolith, formed within a Meckel's diverticulum and subsequently expellefferential diagnosis from a gallstone ileus is virtually impossible. This nevertheless remains a rare cause of intestinal obstruction.
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PMID:Small intestinal obstruction by an enterolith from a Meckel's diverticulum. 53 43

Between 1966 und 1975 42 children and 46 adults were operated on Meckel's diverticulum. The diverticulum is explained as one of the possible disturbances during regression of ductus omphaloentericus. The appendicitis-like symptomatology correlates to the involvement of gastric and colonic mucosa as well as heterotopic exo- and endocrine tissue of the pancreas in the wall of the diverticulum. In 34% complications were due to inflammation, perforation, bleeding, intussusception, volvulus, gut-strangulation with ileus, ulcer, neoplasia or lesion by foreign bodies. 4 out of 88 patients died. Preoperative diagnostic fails in 75%, therefore in every case the distal gut should be inspected and every diverticulum should be resected.
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PMID:[Clinical importance of Meckel's diverticulum]. 108 17

Meckel's diverticula have a prevalence of approx. 2% in the population. About 90% of them are clinically inapparent. Usual complications are a perforation of ectopic gastric mucosa (possibly with intestinal bleeding), an invagination and a volvulus. Etiology is normally revealed only by surgical exploration. Calculi are rarely found in Meckel's diverticula, males being afflicted much more often than females. The enterolith consists of calcified residues of food. Unexplained abdominal symptoms with an ileus situation should also be considered a Meckel's diverticulum containing enteroliths. This is especially so, if there are unidentified calcifications visible on the abdominal X-ray.
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PMID:[Acute abdomen caused by inflammation of a Meckel's diverticulum containing a stone]. 150 25

The authors describe a case of ileus in a 16-month-old child caused by Meckel's diverticulum. The symptoms leading to diagnosis were vague, partly masked by concurrent respiratory disease. In the discussion the authors mention possible complications associated with this anomaly.
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PMID:[Persistent ductus omphaloentericus as a cause of ileus in children]. 157 22

Our series of 43 complicated and 35 uncomplicated cases of Meckel's diverticula is reviewed. The complicated courses displayed the typical symptoms, e.g. ileus, hemorrhage, inflammation, perforation with peritonitis. Indication and tactics and techniques of surgical intervention are based on the individual course. Incidental diagnosis of Meckel's diverticulum during coeliotomy indicates resection, because diverticula of normal gross appearance present with microscopic alterations in 29% which could evoke major complications.
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PMID:[Clinical aspects and surgery of complicated and uncomplicated Meckel's diverticulum]. 159 14

Meckel's diverticulum is the most common congenital abnormality of the small bowel; it occurs in approximately 2% of the population. Complications of Meckel's diverticulum include hemorrhage, usually associated with heterotopic tissue within the diverticulum, intussusception, development of benign or malignant neoplasms, and inflammation. Formation of one or more enteroliths within a diverticulum is rare. An extremely rare complication is mechanical small bowel obstruction secondary to extrusion of an enterolith from a Meckel's diverticulum (Meckel's stone ileus). A case of Meckel's stone ileus is described herein, with a review of the literature of this extremely rare complication.
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PMID:Meckel's stone ileus. 160 94

The most common cause of acute abdomen in a child is acute appendicitis followed by mesenteric lymphadenitis, invagination, strangulation-ileus as a result of volvulus and more rarely perforated Meckel's diverticulum. However even with a child, from a differential diagnosis' aspect, a gynaecological cause should be taken in account too. From time to time one comes across a polycystic-alterated, with twisted lig. ovarii, haemorrhagic and infarctioned ovary without any endocrinological or other pathological irregularities which produces these complaints and symptoms. In the following casuistic such an instance is described.
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PMID:[Pedicle torsion, hemorrhagic ovarian infarct. A rare cause of pediatric acute abdomen]. 192 84

The authors report 4 new cases of heterotopic pancreas in children with prepyloric, jejunal, Meckel's diverticulum and mesenteric localization. Clinical manifestations were: hemorrhage in the prepyloric localization, abdominal pain in the mesenteric and Meckel's diverticulum and ileus in the jejunum localization. The authors emphasise the difficulties of preoperative diagnosis of the pancreatic heterotopias, owing to their usually small size and the necessity of surgical treatment.
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PMID:[The heterotopic pancreas in children. Apropos of 4 new cases]. 208 65

The analysis of the diagnosis and treatment of commissural ileus caused by Meckel's diverticulum in 15 children is presented. The final diagnosis was established at operation.
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PMID:[Commissural intestinal obstruction caused by Meckel's diverticulum in children]. 239 49

During the last 27 years, 84 patients with Meckel's diverticulum (MD) have undergone resection at our institution (incidental findings, n = 50; MD with complications, n = 34). The most frequent complications of MD were obstruction and diverticulitis. Analysis of records of patients revealed that MD is a rare intraoperative finding. The calculated incidence was 2.4 per cent, and the ratio of diverticulectomy to appendectomy was 1:55. A preoperative diagnosis of MD was rare (4 per cent). Only in those patients with hemorrhage were diagnostic procedures (angiography, scintigraphy and roentgenography) useful. Ectopic tissues occurred in 23 per cent of all patients and were observed more often in patients with complications of MD. There was a correlation between hemorrhage and gastric heterotopic tissue. Another correlation was found between invagination and pancreatic tissue as well as diverticulitis. Postoperative adhesions causing ileus was the main complication found after resection for MD (8 per cent), whereas no other severe complications were observed (no insufficiency). There was no death as a result of resection. Because of the low rate of postoperative complications and the latent risk of complications arising sometime during life in sporadic episodes, a prophylactic resection is indicated but is often performed too late because the primary endangered group for complications is children who are less than two years of age. Predominantly in those with hemorrhage, the base of the diverticulum should be carefully checked for heterotopic tissue to prevent further complications.
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PMID:Incidence and frequency or complications and management of Meckel's diverticulum. 281 70


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