2019, Number 2
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Residente 2019; 14 (2)
Open surgery as timely management of acute abdomen in complications from Meckel’s diverticulum. Case report
Araujo-López A, Aburto-Fernández MC, López-Arvizu E, Alvarado GA, Gutiérrez SJL, Álvarez MOA, Arteaga VLR, Herrera-Díaz A, Jiménez Ríos CO, Lerma-Alvarado RM
Language: Spanish
References: 11
Page: 55-58
PDF size: 241.99 Kb.
ABSTRACT
Introduction: Meckel’s diverticulo, in adults; incidence of 2%, predominates in the male gender 2: 1, average location at 67 cm from the valve ileocecal.
Clinical case: Female, 26 years old, without history, who enters the emergency room due to intestinal occlusion with acute abdomen, is operated on surgically; finding an internal hernia with closed handle 270 cms from Treitz, performing RATT in 2 planes involving Meckel’s diverticulum with complicated diverticulitis. The patient with adequate general conditions decides to graduate.
Discussion: The complication rate per Meckel diverticulum in adults is 6.7%, however, intestinal occlusion is one of the most frequent complications from 20 to 50%, and within the causes of occlusion one of the most frequent is an internal hernia with closed loop, where it compromises more than just inflammation of the diverticulum, as is the case presented, in this case we can describe that the surgical management was determined in less than 12 hours.
Conclusion: Within the approach and study of acute abdomen, 60% is surgical, but it is difficult to think about this condition, since the frequency is 6.7%, which is why we believe that in young patients it should be contemplated prior to laparotomy.
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