López RCA, Gómez RJM, Flores CJJ

Language: Spanish
References: 6
Page: 181-184
PDF size: 167.34 Kb.

ABSTRACT

Meckel's diverticulum is the most common congenital gastrointestinal anomaly affecting 2% of the population and is located within 2 feet (60 cm) of the ileocecal valve. It is considered a true diverticulum because it contains all the layers of the intestinal wall and is a remnant of the omphalomesenteric duct, which presents an incomplete closure between the sixth and eighth week of gestation. This diverticulum may have heteropic tissue and is present in half of the cases. There are normally two main types of ectopic tissue, gastric and pancreatic. The importance of Meckel's diverticulum lies in the possibility of complications, which appear in 4% of cases in those under 20 years of age and 2% in those over 20 years of age up to 40 years, these complications include, in order of relevance, obstruction of the small intestine (31%), hemorrhage (23%), diverticulitis (14%), and very rarely intestinal ischemia secondary to torsion of the diverticulum. The incidence of Meckel's diverticulitis in pregnant women is not known in detail due to lack of studies. The signs and symptoms are usually identical to those of common disorders such as appendicitis, which is why it is also called "the great mime". Diagnosis of symptomatic Meckel syndrome can be difficult due to the infrequency of presentation and is often only considered once other conditions have been excluded or after diagnostic surgery. The management of Meckel's diverticulum will always be surgical when it is accompanied by any complication that generates an acute abdomen and consists of performing a diverticulectomy or ileal resection with a diverticulum included.

REFERENCES

1. Eisdorfer J, Zinkin NT, Rivadeneira DE. Meckel's diverticulitis: a rare cause of abdominal pain during pregnancy: images for surgeons. ANZ J Surg. 2018; 88 (7-8): 800-802. Available in: https://pubmed.ncbi.nlm.nih.gov/27061447/

2. Motta-Ramírez GA, Reyes-Méndez E, Campos-Torres J, García-Ruiz A, Rivera-Méndez VM, García-Castellanos JA et al. El divertículo de Meckel en adultos. Anales de Radiología México. 2015; 14: 20-30. Disponible en: https://www.webcir.org/revistavirtual/articulos/2016/4_noviembre/mx/diverticulo_esp.pdf

3. Colín G, De La Peña Méndez S, Omar C, Serrano R, Contreras Tamayo G. Divertículo de Meckel en el embarazo, resolución laparoscópica: presentación de un caso y revisión de la literatura. Rev Mex Cir. 2016; 17 (1): 47-50. Disponible en: https://www.medigraphic.com/pdfs/endosco/ce-2016/ce161i.pdf

4. Wong JYJ, Conroy M, Farkas N. Systematic review of Meckel's diverticulum in pregnancy. ANZ J Surg. 2021; 91 (9): E561-E569.

5. Rudloff U, Jobanputra S, Smith-Levitin M, Kessler E. Meckel's diverticulum complicating pregnancy. Case report and review of the literature. Arch Gynecol Obstet. 2005; 271 (1): 89-93.

6. Huerta S, Barleben A, Peck MA, Gordon IL. Meckel's diverticulitis: a rare etiology of an acute abdomen during pregnancy. Curr Surg. 2006; 63 (4): 290-293. Available in: https://doi.org/10.1016/j.cursur.2006.02.009