We present a case of Meckel diverticulitis in a boy of 7 years old, diagnosed by ultrasound and documented by surgery. We review the literature about the. Diagnóstico endoscópico de una invaginación por divertículo de Meckel. Article in Gastroenterology 34(9) · November with 3 Reads. El divertículo de Meckel se ha de considerar en el diagnóstico diferencial del dolor abdominal y la hemorragia digestiva baja, especialmente en la infancia.
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Intravenous fluids were administered and a nasogastric tube was inserted with immediate drainage of stasis liquid. Complete blood count revealed leukocytosis important, not found electrolyte disturbances and serum amylase was within normal parameters.
At laparotomy was identified large amount of enteral fluid in the cavity, small bowel loops swollen and distended. Dear Editor, We present the case of a year-old male with medical history divertkculo umbilical hernial surgery, who was admitted to the emergency department with a one-day history of intense epigastric pain. Philadelphia, Elsevier,p If there is no evidence of strangulated hernia or bowel suffering, two thirds will be cured medically.
Histology revealed a cm long Meckel’s diverticulum with no heterotopic mucosa. An abdominal computed tomography CT was requested, which showed a not-enhanced intestinal loop with thickened dierticulo in supramesocolic region. Nelson Textbook of Pediatrics, ed MD torsion can produce severe vascular obstruction and secondary diverticular gangrene 9and despite being a rare entity, this should be considered in the differential diagnosis of patients with clinical symptoms of acute abdomen.
Color Doppler of Meckel’s diverticulum: report of two cases
Thus, in cases of acute surgical abdomen, the diverticulum complicated Meckel should be considered. Meckel diverticulum; in Peter S ed: He was discharged on day 10 without further complications. The pathologic report described transmural ischemia and hemorrhage of the intestinal mucosa, which was unable to determine the presence of ectopic tissue.
Surgical exploration revealed an axially torsioned gangrenous Meckel’s diverticulum MD. This last has less complication rates in relation to wound infection, mechanical ileus or stenosis 8. diagmostico
The management of diverticulosis of the small bowel; in DeFrancesco K ed: Diverticulo de Meckel torsionado con isquemia de asa intestinal.
A year-old male with diabetes, dyslipidemia, and overweight presented to the Emergency Department due to abdominal distension, vomitus, and epigastric pain which had meckl 16 h before.
Preoperative diagnosis is difficult because the clinical presentation may be indistinguishable from other causes of abdominal pain, like appendicitis or pancreatitis. The diagnosis is not only clinical but also confirmed by imaging exams . Burjonrappa S, Khaing P. The size is variable, but is defined as a giant when it exceeds 5 cm diagnostixo length 5.
This saccualar structure had cm length Fig. Since preoperative diagnosis is difficult and infrequent, in most cases this anomaly is confirmed only during surgery.
Divertículo de Meckel perforado
July 26, ; Accepted after revision: It is believed to be the enterectomy segment with end-to-end reconstruction the most appropriate conduct to ensure the complete removal of the diverticulum and ectopic mucosa at divertidulo base of the segment ileal Blood analyses hemogram, amylase, lipase, cardiac enzymes, and C-reactive protein were within normal values. Clinically, he had a high intestinal obstruction without any mechanical cause on computed tomography scan.
Meckel diverticulum; in Ferri F ed: Diagnosis by computed tomography is cited in the literature as diveeticulo. Clinical Case A year-old male with diabetes, dyslipidemia, and overweight presented to the Emergency Department due to abdominal distension, vomitus, and epigastric pain which had started 16 h before.
Tan Y, Zheng Z.
Diverticulitis, diverticular perforation or enteroliths in diverticular lumen 7. J Indian Med Assoc. Due to diagnoshico of the wound and a psychomotor agitation framework presented by the patient, it was necessary new surgical approach on the fourth day due a partial dehiscence aponeurotic. Seth A, Seth J. Gangrene of Meckel’s diverticulum secondary to axial torsion: Rev Col Bras Cir.
No patient data appears in this article, and the patient authorized the submission and publication of this work. It was held segmentary enterectomy encompassing the area of the diverticulum and terminoterminal primary enteroanastomosis in two planes. Rectal exam was mcekel and abdominal sounds were increased with metallic tones. With the suspicion of intestinal ischemia secondary to internal hernia, the patient was transferred diagnostoco the operating room.