In adults with an acute surgical emergency meckel s diverticulum is unlikely to be considered. Meckel s stones are uncommon and diverticula of a meckel s diverticulum exceedingly rare. Sur le plan anatomopathologique, deux cas dheterotopie ont ete notes. A meckel s diverticulum, a true congenital diverticulum, is a slight bulge in the small intestine present at birth and a vestigial remnant of the omphalomesenteric duct also called the vitelline duct or yolk stalk. Despite computed tomography, magnetic resonance and ultrasound imaging, symptomatic meckel diverticulum cannot always be detected without surgical intervention 1, 3. Pdf meckels diverticulum is the most common congenital malformation of gastrointestinal tract. Meckels diverticulum in the adult leijonmarck 1986. Get a printable copy pdf file of the complete article 1. Early prenatal sonographic detection of an uncomplicated. Meckel s diverticulum md is a remnant of the small intestine omphalomesenteric duct and represents a rare entity. It is the most common malformation of the gastrointestinal tract and is present in approximately 2% of the population, with males more frequently experiencing symptoms. Recurrent torsion of a giant meckel s diverticulum.
This is only the second recorded case of such a diverticulum containing a stone, and the first to describe a calcified stone in this location. The meckels diverticulum md is the commonest congenital abnormality of the gastrointestinal tract. Diverticulum of a meckels diverticulum containing a stone. Giant meckel s diverticula are more likely to cause obstruction than bleeding. It has an ileal mucosa, but heterotopic mucosa can be found, and then 8085 % of the ectopic tissue is gastric mucosa, sometimes associated with pancreatic tissue. Rescue radioguided laparoscopy surgery for meckels. It is considered the most common structural congenital anomaly of the gastrointestinal tract.
If you are a subscriber, please sign in my account at the top right of the screen. The meckel s diverticulum is a true diverticulum of the small intestine 1. All structured data from the file and property namespaces is available under the creative commons cc0 license. Please use one of the following formats to cite this article in your essay, paper or report. However, a meckel s diverticulum can give rise to surgical problems in many ways and at any age. In these circumstances, preventative extirpation is a debated issue, although it may lead. Simulation in surgery seems to increase safety and efficiency in training. Les tableaux sont exclusivement disponibles en format pdf. Generalement benin et asymptomatique, il est surtout.
It is concluded that in children with intestinal bleeding or a raspberry tumour of the umbilicus a meckel s diverticulum is usually suspected. To our knowledge this is the first case of meckel diverticulum detected ultrasonographically in the 14 th week of pregnancy 46. Files are available under licenses specified on their description page. It is the most common congenital anomaly of the gastrointestinal tract and occurs in 1 to 3 % of the population 2. She proved to have a meckel s diverticulum which had a secondary diverticulum at its apex, containing a stone. Heterotopic means the displacement of an organ from its normal anatomic location. Among 84 cases of meckel diverticulum, 18 21% were found at surgery to be inverted into the lumen of the bowel. Meckel diverticulum is a congenital intestinal diverticulum due to fibrous degeneration of the umbilical end of the omphalomesenteric vitelline duct that occurs around the distal ileum.
687 1411 955 523 679 134 77 252 281 739 96 6 1183 1113 348 241 382 473 818 738 661 834 677 499 335 1080 1246 54 1132 924 1429 136 1068 52 1320 470 266 167 244 803 739 92 1174 339 1219 980 211 265 4 624 1222