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Appendicitis combined with meckel’s diverticulum obstruction, perforation, and inflammation in children: Three case reports

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World Journal of Clinical Cases 2024年第4期12卷 865-871页

作者： Yi-Meng sun Wang Xin Yu-Fang Liu Zhe-Ming Guan Hao-Wen Du Ning-Ning sun Yong-Dong Liu school of Clinical Medicine Weifang Medical UniversityWeifang 261000Shandong ProvinceChina Department of Pediatric surgery Weifang People’s HospitalWeifang 261000Shandong ProvinceChina Department of Burn surgery Weifang People’s HospitalWeifang 261000Shandong ProvinceChina

BACKGROUND meckel’s diverticulum is a common congenital malformation of the small intestine,with the three most common complications being obstruction,per-foration,and *** date,only a few cases have been reported *** children,the clinical symptoms are similar to *** most of the imaging features are nonspecific,the preoperative diagnosis is not *** addition,the clinical characteristics are highly similar to pediatric acute appendicitis,thus special attention is necessary to distinguish meckel’s diver-ticulum from pediatric *** with poor disease control should undergo laparoscopic exploration to avoid serious complications,including intestinal necrosis,intestinal perforation and gastrointestinal *** sUMMARY This report presents three cases of appendicitis in children combined with intestinal obstruction,which was caused by fibrous bands(ligaments)arising from the top part of meckel's diverticulum,diverticular perforation,and diver-ticular *** three patients,aged 11-12 years,had acute appendicitis as their initial clinical *** were treated by laparoscopic surgery with a favorable outcome.A complete dataset including clinical presentation,dia-gnostic imaging,surgical information,and histopathologic findings was also *** Preoperative diagnosis of meckel’s diverticulum and its complications is challenging because its clinical signs and complications are similar to those of appendicitis in *** combined with laparotomy is useful for diagnosis and treatment.

关键词： meckel’s diverticulum Complications Intestinal obstruction Perforation Appendicitis in children Mesodiverticular band Ligament Diverticular disease Case report

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Laparoscopic surgery for meckel’s diverticulum Presenting as small Bowel Obstruction: A Case Report

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surgical science 2016年第11期7卷 505-510页

作者： Mushtaq Chalkoo Mumtaz-Din Wani Hilal Makhdoomi Ankush Banotra Yassar Arafat Awhad Mueed syed shakeeb Department of General surgery Government Medical College Srinagar India

meckel’s diverticulum is not commonly encountered surgical entity and presents unique challenges for a pediatric surgeon, as it is prone to varied complications. A 14-year-old boy was admitted with us with a 48-hour history of lower abdominal pain and multiple episodes of vomiting. Radiological imaging studies revealed a high-grade partial small bowel obstruction. A fleeting conservative management was tried. The diagnostic laparoscopy revealed a small bowel obstruction secondary to a meckel’s diverticulum. The diverticulum was resected using an endovascular GIA stapler. The patient was discharged on postoperative day four, tolerating a regular diet. Laparoscopy is a useful diagnostic and therapeutic means for a patient with a small bowel obstruction due to an uncertain etiology.

关键词： Laparoscopy meckel’s diverticulum small Bowel

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Incarceration of meckel's diverticulum in a left paraduodenal Treitz' hernia

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World Journal of Clinical Cases 2015年第8期3卷 732-735页

作者： Christoph Gerdes Oke Akkermann Volker Krüger Anna Gerdes Berthold Gerdes Department of General surgery Johannes Wesling Klinikum MindenG-32429 MindenGermany

meckel's diverticula incarcerated in a hernia were first described anecdotally by Littré, a French surgeon, in 1700. meckel, a German anatomist and surgeon, explained the pathophysiology of this disease 100 years later. In addition, a congenital paraduodenal mesocolic hernia, known as a Treitz hernia, is a rare cause of small bowel obstruction. These hernias are caused by an abnormal rotation of the primitive midgut, resulting in a right or left paraduodenal hernia. We treated a patient presenting with pain and diagnosed extraluminal air in the abdomen after a computed tomography examination. We performed a laparotomy and found a combination of these two seldomly occurring congenital diseases, incarceration and perforation of meckel's diverticulum in a left paraduodenal hernia. We performed a thorough review of the literature, and this report is the first to describe a patient with a combination of these two rare conditions. We considered the case regarding the variety of terminology as well as the treatment options of these conditions.

关键词： Incarceration meckel’s diverticulum Perforation Left paraduodenal hernia Treitz’hernia Littré’s hernia

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Perforated meckel’s Diverticulitis Complicating Pregnancy at 28 Weeks’ Gestation Misdiagnosed as Appendicitis

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Reproductive and Developmental Medicine 2018年第3期2卷 187-189页

作者： Wen‑Ting Hu Qing‑Ying Zhang Hai‑Dong Cheng Department of Obstetrics Obstetrics and Gynecology Hospital of Fudan UniversityShanghai 200011China

Perforated meckel’s diverticulum is an extremely rare cause of an acute abdomen in *** clinical presentation is similar to that of appendicitis and diagnosis is delayed in most *** present a patient who developed increasing abdominal pain and leukocytosis at 28 weeks of *** was misdiagnosed with appendicular peritonitis until acute exploratory *** related published cases up to now,most cases did not make a correct preoperative diagnosis of meckel’s *** case suggests that meckel’s diverticulum in pregnancy may have serious consequences.A high index of suspicion and a low threshold for surgical intervention are required to minimize morbidity and mortality.

关键词： Appendicitis meckel’s diverticulum Misdiagnosis Pregnancy

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Three Inverted meckel’s Diverticula Cases with Ileus Diagnosed Preoperatively and Treated Laparoscopically

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surgical science 2016年第2期7卷 65-71页

作者： Kazuya Naritomi Yuya Tanaka Hiroki Ureshino Yoshihiro Uchino Motohisa Kuwahara Yuhei Kitazato Masahiro Kawabata Masae Mano Department of surgery Saiseikai Futsukaichi Hospital Fukuoka Japan

We have experienced three inverted meckel’s diverticula with ileus that are diagnosed before surgery and treated with laparoscopic surgery. The patients were 22, 26, and 29 years of age. The history of ileus for each patient differed, being the first experience for one patient, the second for another, and the third experience for the remaining patient. None of these patients had a history of abdominal surgery. Conservative therapy eventually improved the existing symptoms, but the cause of past ileus remained unclear. Elective surgery was performed 12 days from the onset of symptoms on two of the patients after improving the ileus by inserting a long tube into the bowel. Emergency surgery was performed on the same day of admission on the remaining case that involved moderate expansion of intestine. In these patients, the first trocar was inserted into the umbilicus region. Laparoscopic surgery was then performed with three trocars. The patients were discharged upon favorable outcome after surgery. No recurrence of ileus was noted post-surgery. Laparoscopy was useful both to diagnose and treat ileus of a meckel’s diverticulum.

关键词： meckel’s diverticulum Ileus Preoperative Diagnosis Laparoscopic surgery

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Postoperative intestinal obstruction caused by meckel’s diverticulitis after appendectomy

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Open Journal of Pediatrics 2013年第4期3卷 346-349页

作者： Erdal Turk Ayca Tan Fahri Karaca Yesim Edirne Irfan Karaca Department of Pediatric surgery Faculty of MedicineIzmir UniversityIzmirTurkey Clinic of Pathology Denizli State HospitalDenizliTurkey Clinic of Pediatric surgery Denizli State HospitalDenizliTurkey

surgical treatment of the complications associated with meckel’s diverticulum is widely accepted, but surgical management of an asymptomatic diverticulum found incidentally during laparotomy for other reasons is controversial. Appendectomy is the most common reason for laparotomy in many pediatric surgery clinics. The most common causes of an intestinal obstruction in the early period after appendectomy are an intra-abdominal abscess, adhesive small bowel obstruction and invagination. Obstruction due to meckel’s diverticulum is reported rarely. In this study, we present 2 cases, five and eleven years old, with an asymptomatic meckel’s diverticulum where appendectomy was performed due to acute and perforated appendicitis and obstruction developed due to meckel’s diverticulitis in the postoperative early stage. meckel’s diverticulitis must be considered in intestinal obstruction cases developing in the early stages after appendectomy although quite rare.

关键词： Appendicitis meckel’s diverticulum Intestinal Obstruction

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meckel diverticulum Carcinoid Tumor Complicated by Ileal Invagination. About One Case at Vichy Hospital

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Case Reports in Clinical Medicine 2022年第4期11卷 133-137页

作者： Omar sow Nicolas sorbane Fetche Alice Anusca Lionel Perrot service de Chirurgie Viscérale et Digestive Centre Hospitalier de Vichy Vichy France service de Chirurgie H&ocirc pital de la Paix Université Assane Seck de Ziguinchor Ziguinchor Senegal

meckel’s diverticulum is a common pathology in children and rare in adults. We present a case of a 79-year-old patient in which a significant gastrointestinal bleeding, whose paraclinical explorations confirmed a fatty tumor of the terminal ileum. The exploratory coelioscopy revealed a tumor of the meckel diverticulum complicated of intestinal invagination, resected at the same time with resection and extracorporeal anastomosis by mini coelio-guided laparotomy. Histology confirmed the presence of heterotopical tissue of the duodenal mucosa with Brunner cells and a carcinoid tumor. In conclusion, this clinical case shows that coelioscopy can be considered a very important diagnostic and therapeutic tool in this pathology especially in the elderly.

关键词： meckel’s diverticulum Carcinoid Tumor Invagination Cœliosurgery

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