Torsion and inflammation of Meckel's diverticulum: Rare cause of acute abdominal pain

Meckel's diverticulum is a remnant of the embryologic vitelline duct. It was named after its anatomical and embryological description, in the early 19th century, by Johann Meckel. It is known as a true diverticulum of the small bowel and is typically estimated to be present in 2% of the general...

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Main Authors: Sofia Morão, Maria Knoblich, Fátima Alves, Rui Alves, João Pascoal
Format: Article
Language:English
Published: Elsevier 2017-08-01
Series:Journal of Pediatric Surgery Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S221357661730091X
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author Sofia Morão
Maria Knoblich
Fátima Alves
Rui Alves
João Pascoal
author_facet Sofia Morão
Maria Knoblich
Fátima Alves
Rui Alves
João Pascoal
author_sort Sofia Morão
collection DOAJ
description Meckel's diverticulum is a remnant of the embryologic vitelline duct. It was named after its anatomical and embryological description, in the early 19th century, by Johann Meckel. It is known as a true diverticulum of the small bowel and is typically estimated to be present in 2% of the general population, with only a very small percentage being symptomatic. In this report, we present a 14-year-old boy with complaints of abdominal pain, fever, nausea, vomiting and diarrhea. During physical examination we observed peritoneal irritation and raised inflammatory markers. Surgical exploration revealed torsion and inflammation of a large Meckel's diverticulum with a gangrenous area. In order to ensure the removal of etopic tissue, if present, segmental bowel resection with primary anastomosis was performed. Histopathological analysis did not find ectopic tissue. The operative and postoperative courses were uneventful. Meckel's diverticulum is an important differential diagnosis in acute abdominal pain in children.
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spelling doaj.art-531afa8ffd8e44c290977b659ddbc8412022-12-21T19:02:21ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662017-08-0123C151710.1016/j.epsc.2017.05.016Torsion and inflammation of Meckel's diverticulum: Rare cause of acute abdominal painSofia MorãoMaria KnoblichFátima AlvesRui AlvesJoão PascoalMeckel's diverticulum is a remnant of the embryologic vitelline duct. It was named after its anatomical and embryological description, in the early 19th century, by Johann Meckel. It is known as a true diverticulum of the small bowel and is typically estimated to be present in 2% of the general population, with only a very small percentage being symptomatic. In this report, we present a 14-year-old boy with complaints of abdominal pain, fever, nausea, vomiting and diarrhea. During physical examination we observed peritoneal irritation and raised inflammatory markers. Surgical exploration revealed torsion and inflammation of a large Meckel's diverticulum with a gangrenous area. In order to ensure the removal of etopic tissue, if present, segmental bowel resection with primary anastomosis was performed. Histopathological analysis did not find ectopic tissue. The operative and postoperative courses were uneventful. Meckel's diverticulum is an important differential diagnosis in acute abdominal pain in children.http://www.sciencedirect.com/science/article/pii/S221357661730091XMeckel's diverticulitisTorsionChildren
spellingShingle Sofia Morão
Maria Knoblich
Fátima Alves
Rui Alves
João Pascoal
Torsion and inflammation of Meckel's diverticulum: Rare cause of acute abdominal pain
Journal of Pediatric Surgery Case Reports
Meckel's diverticulitis
Torsion
Children
title Torsion and inflammation of Meckel's diverticulum: Rare cause of acute abdominal pain
title_full Torsion and inflammation of Meckel's diverticulum: Rare cause of acute abdominal pain
title_fullStr Torsion and inflammation of Meckel's diverticulum: Rare cause of acute abdominal pain
title_full_unstemmed Torsion and inflammation of Meckel's diverticulum: Rare cause of acute abdominal pain
title_short Torsion and inflammation of Meckel's diverticulum: Rare cause of acute abdominal pain
title_sort torsion and inflammation of meckel s diverticulum rare cause of acute abdominal pain
topic Meckel's diverticulitis
Torsion
Children
url http://www.sciencedirect.com/science/article/pii/S221357661730091X
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