Most 75% meckels diverticula are found within 100 cm of the ileocecal. Intestinal obstruction caused by torsed gangrenous meckels. Net of the gastrointestinal tract originate from neuroendocrine enterochromaffin cells located in the mucosa of the gastrointestinal tract. It might remain completely asymptomatic or may mimic some disorders like crohns disease, appendicitis. We are presenting here our 12year experiences with md in children at tertiary care hospital in north india. Meckels diverticulum diverticulum ilei consists of a pouch which projects from the lower part of the ileum in about 2 per cent. Meckel s diverticulum diverticulum ilei consists of a pouch which projects from the lower part of the ileum in about 2 per cent. A technetium99m pertechnetate scan, also called meckel scan, is the investigation of choice to diagnose meckel s diverticula in children. Meckel s diverticulum md is the one of the most common congenital malformation of gastrointestinal tract and has varied clinical presentations. Small bowel obstruction due to mesodiverticular band of meckels diverticulum is a rare complication. Meckels diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract. Feb 27, 2019 please use one of the following formats to cite this article in your essay, paper or report. Meckels diverticulum is the most common congenital anomaly of the gastrointestinal.
A meckels diverticulum, a true congenital diverticulum, is a slight bulge in the small intestine. Ultima revision 10232018 version en ingles revisada por. The presence of a net in a meckels diverticulum is a very uncommon finding. Surgical pathology associated with meckels diverticulum in a. Meckels cartilage, discovered by german anatomist j. Generally, a meckel diverticulum ranges from 1 to 12 cm in length and is found 4590 cm proximal to the ileocecal valve. It results from incomplete obliteration of the vitelline duct leading to the formation of a true diverticulum of the small intestine. Phillips, md, clinical professor of medicine, the george washington university school of medicine, washington, dc. The point of attachment of a meckels diverticulum to the bowel varies. Meckel s diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract. This anomaly is due to the incomplete obliteration ofthe omphalomesenteric duct during the 7th week of gestation and is classically located 2 feet proximal to the ileocecal valve. Media in category meckel s diverticulum the following 3 files are in this category, out of 3 total. Oct 20, 2017 in children, most series have historically noted that hematochezia is the most common presenting sign.
Meckel s diverticula are uncommon and often clinically silent, particularly in the adult. Show the different forms of clinical manifestation of. It is seen in 2% of the population, and it is caused by failure of the omphalomesenteric duct to regress. Meckels diverticulum is the most prevalent congenital anomaly of the gastrointestinal tract. A technetium99m pertechnetate scan, also called meckel scan, is the investigation of choice to diagnose meckels diverticula in children. May 15, 2019 a meckel diverticulum is a vestigial remnant of the omphalomesenteric vitellointestinal duct. Originally described in 1809 by the german anatomist, johann friedrich meckel 17811833, the diverticulum is the result of incomplete atrophy of the omphalomesenteric duct, 2. Meckels diverticulum was first described in a paper published in 1809 by the german anatomist, johann friedrich meckel, the younger 17811833, who described it as a remnant of the omphalomesenteric duct, 3 although such an abnormality had been mentioned quite early by fabricius hildamus in 1598 and in 1671 by lavater who did not recognize its embryological. Media in category meckels diverticulum the following 3 files are in this category, out of 3 total.
Meckel s diverticulum is the most common congenital anomaly of the gastrointestinal tract. Diverticulitis and perforation occur at a combined rate of almost 20% and are. Small bowel obstruction due to meckels diverticulum. The incidence of complications with a meckel diverticulum is reported to wide range between 4% and 40% of patients. Most patients with a complication are thought to present in the first two years of. Meckels diverticuluma highrisk region for malignancy in the. Meckel 17811833, is hyaline cartilage formed in the mandibular process of the first branchial arch of vertebrate embryos. Scribd is the worlds largest social reading and publishing site. As a congenital anomaly, it is a true diverticulum that includes all three coats of the small intestine. The point of attachment of a meckel s diverticulum to the bowel varies.
Meckel s diverticulum was first described in a paper published in 1809 by the german anatomist, johann friedrich meckel, the younger 17811833, who described it as a remnant of the omphalomesenteric duct, 3 although such an abnormality had been mentioned quite early by fabricius hildamus in 1598 and in 1671 by lavater who did not recognize its embryological. Meckel diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurring in 2%3% of the population, 1. Meckel s diverticulum is the most prevalent congenital anomaly of the gastrointestinal tract. Surgical pathology associated with meckels diverticulum in a tertiary hospital. The thymus appears in the form of two flaskshape diverticula, which arise from the third branchial pouch pharyngeal pouch of the endoderm. Feb 15, 2000 meckel s diverticulum is a true intestinal diverticulum that results from the failure of the vitelline duct to obliterate during the fifth week of fetal development. Meckels diverticula are uncommon and often clinically silent, particularly in the adult. Meckels diverticulum, axial torsion, gangrene, intestinal.
Here we describe the case of a patient with a very rare form of acute small bowel. Most 75% meckel s diverticula are found within 100 cm of the ileocecal. Occasionally, meckels diverticulitis may present with all the features of acute. Pediatric meckel diverticulum clinical presentation. Meckels diverticulum is the most common congenital anomaly of the gastrointestinal tract.
172 858 1406 997 1458 690 1210 1592 379 383 1188 1032 95 286 600 562 489 380 756 245 1559 1154 1037 1429 239 404 66 147 608 820 903 1098 452 628 460 1093 377 1012 1461 374 1192 664