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2021, Number 1

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Rev Cub Med Mil 2021; 50 (1)

Mechanical intestinal occlusion by Meckel´s diverticulum in an adult

Valle LY, Aparicio CJ, Rodríguez ND, Estrada CM, Jiménez HOL, Quintana RM

Language: Spanish
References: 20
Page:
PDF size: 232.06 Kb.


ABSTRACT

Introduction: The incidence of Meckel's diverticulum in the general population is approximately 1 to 2 % and clinical manifestations are seen in only 20 % of these people. The diagnosis in the remaining 80 % is incidental and is made by surgical findings, reported in approximately 2 % of autopsies.
Objective: To describe the clinical presentation and surgical characteristics of mechanical intestinal occlusion by Meckel's diverticulum in the adults.
Clinical case: 54-year-old male patient who was attended with a painful abdominal condition and clinical elements of an occlusive syndrome. During surgery, a broad-based Meckel's diverticulum was found as a point of attachment, and small intestine volvulus. A terminal resection and anastomosis was performed in one plane. Postoperative evolution was satisfactory.
Conclusions: Mechanical intestinal occlusion secondary to Meckel's diverticulum is a rare cause of occlusive syndrome that must be taken into account in surgical practice.


REFERENCES

  1. Gray SW. Anomalías congénitas. Barcelona: Editorial Jims; 1975.

  2. Ruiz Borrego J. Características clínicas del divertículo de Meckel en la población infantil. Rev Gastroenterol Perú. 1995[acceso:15/08/2017];15(3):247-54. Disponible en: http://bases.bireme.br/cgi-bin/wxislind.exe/iah/online/?IsisScript=iah/iah.xis&src=google&base=ADOLEC&lang=p&nextAction=lnk&exprSearch=161892&indexSearch=ID

  3. Kapischke M, Bley K, Delta E. Meckel's diverticulum. Surg Endosc. 2003; 17(2):351.

  4. Romano F, Franciosi C, Cerea K, Bravo AF, Colombo G, Uggeri F. A case of carcinoid of Meckel's diverticulum associated with gastric adenocarcinoma. Tumori. 2001[acceso: 15/08/2017];87(4):272-5. Disponible en: https://journals.sagepub.com/doi/10.1177/030089160108700413

  5. Freeman HJ. Meckel's diverticulum in Crohn's disease. Can J Gastroenterol. 2001[acceso: 20/08/2019];15(5):308-11. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/11381298

  6. Chan KW, Lee KH, Mou JW, Cheung ST, Tam YH. Laparoscopic management of complicated Meckel´s diverticulum in children: 10-year review. Surg Endosc. 2008 [acceso: 20/01/2012]; 22(6):1509-12. Disponible en: http://link.springer.com/article/10.1007/s00464-008-9832-0#page-1

  7. Darlington CD, Anitha GFS. Meckel's Diverticulitis Masquerading as Acute Pancreatitis: A Diagnostic Dilemma. Indian J Crit Care Med. 2017[acceso: 20/08/2019]; 21(11):789-92. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699010/

  8. Chatterjee A, Harmath C, Vendrami CL, Hammond NA, Mittal P, Salem R, et al. Reminiscing on Remnants: Imaging of Meckel Diverticulum and Its Complications in Adults. AJR Am J Roentgenol. 2017[acceso: 20/08/2019]; 209(5):287-6. Disponible en: https://www.ajronline.org/doi/full/10.2214/AJR.17.18088

  9. Lequet J, Menahem B, Alves A, Fohlen A, Mulliri A. Meckel's diverticulum in the adult. J Visc Surg. 2017[acceso: 20/08/2019]; 154(4):253-9. Disponible en https://europepmc.org/article/med/28698005

  10. Menezes M, Tareen F, Saeed A, Khan N, Pury P. Symptomatic Meckel's diverticulum in children: a 16-year review. Pediatr Surg Int. 2007[acceso: 20/12/2019]; 24:575-7. Disponible en: http://link.springer.com/article/10.1007/s00383-007-2094-4#page-1

  11. Aguayo P, Fraser JD, Peter SD, Ostlie DJ. Perforated Meckel`s diverticulum in a micropremature infant and review of the literature. Pediatr Surg Int. 2009[acceso: 20/12/2019]; 25(6):539-41. Disponible en: http://link.springer.com/article/10.1007/s00383-009-2378-y#page-1

  12. Levy AD, Hobbs CM. Meckel diverticulum: radiologic features with pathologic correlation. Radiographics. 2004[acceso: 20/01/2012]; 24(2):565-87. Disponible en: http://pubs.rsna.org/doi/abs/10.1148/rg.242035187

  13. Appel MF. Meckel's diverticulum. Text Mad. 1973;69:1038.

  14. Barreiro AF. Divertículo de Meckel y abdomen agudo. Rev Esp Enf Apar Dig. 1969; 28:309-28.

  15. Griffen WO. Divertículo de Meckel. En: Christopher D. Tratado de patología quirúrgica. La Habana: Editorial Científico-Técnica; 1985. p.1013-5.

  16. Cengiz F, Chabowski M, Szymanska-Chabowska A, Dorobisz T, Janczak D, Jelen M, et al. A massive bleeding from a gastrointestinal stromal tumor of a Meckel's diverticulum. Srp Arh Celok Lek. 2016[acceso: 20/01/2020]; 144(3-4):219-21. Disponible en: https://www.researchgate.net/publication/303400210

  17. Miyata S, Bliss DW. A gastrointestinal stromal tumor found in perforated Meckel's diverticulum. Surg Case Rep. 2016[acceso: 20/01/2020]; 2(1):67. Disponible en https://doi.org/10.1186/s40792-016-0196-8

  18. Maglinte DD, Elmore MF, Isenberg M, Dolan PA. Meckel diverticulum: radiologic demonstration by enteroclysis. AJR Am J Roentgenol. 1980[acceso: 20/01/2012]; 134(5):925-32. Disponible en: http://www.ajronline.org/doi/abs/10.2214/ajr.134.5.925

  19. Vázquez Merayo EJ, García González LA, Vázquez Martínez YE, de la Rosa Rodríguez R. Divertículo de Meckel complicado. Análisis de 66 pacientes. Rev Cubana Pediatr. 2003 [citado 31/03/2010]; 76(2): [aprox. 8 p.]. Disponible en: http://bvs.sld.cu/revistas/ped/vol75_2_03/ped04203.htm

  20. Rosabal Estasio JE, Morales RA, Fernández Gautier M, Morales González RA, González Constantín J. Divertículo de Meckel perforado por cuerpo extraño. Rev Cubana Cir. 2002[citado20/01/2012]; 41(1):[aprox 6 p.]. Disponible en: http://www.bvs.sld.cu/revistas/cir/vol41_1_02/cir12102.htm




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