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2015, Number 1

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Anales de Radiología México 2015; 14 (1)

Meckel’s diverticulum in adults

Motta-Ramírez GA, Reyes-Méndez E, Campos-Torres J, García-Ruiz A, Rivera-Méndez VM, García-Castellanos JA, Aragón-Flores M

Language: Spanish
References: 33
Page: 20-30
PDF size: 877.76 Kb.


ABSTRACT

Background: Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal tract. It is a true diverticulum because it comprises all the layers of the intestinal wall. It is usually asymptomatic and is detected incidentally in image diagnostic tests. It has a 2 to 40% risk of complications, the most common of which are bleeding, intestinal blockage, and diverticulitis.
Objective: Show the different forms of clinical manifestation of Meckel’s diverticulum from our experience based on cases evaluated with ultrasound and computed tomography, with emphasis on the usefulness of multiplane reconstructions.
Material and methods: we present a series of cases, from Hospital Central Militar, with acute abdominal pain syndrome in addition to intestinal blockage syndrome.
Results: in the 7 patients studied, identified with Meckel’s diverticulum, there was a clear predominance of males, with 5 cases (72%) of males and only 2 (28%) of females. Meckel’s diverticulitis was identified by computed tomography in 4 (57%) cases, with intestinal invagination of Meckel’s diverticulum in 1 (14%). In our universe, in patients over 40 years of age, the risk of Meckel’s diverticulum giving rise to complications was 57%.
Conclusions: Given the low incidence in the general population and the fact that this condition may be masked by signs of symptoms of other, more common conditions, despite a high degree of suspicion and advances in diagnostic methods, the aphorism expressed by Doctor Mayo in 1933 still applied today: “Meckel’s diverticulum is often suspected, almost always looked for, and rarely found”. This condition leads us to recognize the need to always keep an open mind, focus on differential diagnosis, and not overlook entities like that under consideration with their associated complications.


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