PEANUT AS A CAUSE OF TORSION MECKEL'S DIVERTICULUM

Stojan Sekulic, Aleksandra Sekulic-Frkovic, Andrijana Milankov

Abstract


Meckel's diverticulum is a rest of omphalenteric's channel. It is a congenital anomaly of the small intestine. It can be found in about 2% of the population.The diagnosis of Meckel's diverticulum is generally applied randomly during surgical intervention. 22 year old girl, admitted to the clinic with the clinical picture of acute appendicitis. After 20 hours observation, intestinal permanence -- ileus, was diagnosed. After a brief reanimation and anesthetic preparation, the girl was operated. Operationally we found a normal appendix. Exploration of the abdomen fortified Meckel's diverticulum at a distance of 75 cm from the ileocaecal mouth of the ileum. Diverticulum was completely filled with peanuts, and torsio around its axis which caused the ileus.We performed diverticulectomy and appendectomy. The patient had a rapid and successful postoperative course.


Keywords


Meckel's; diverticulum; ileus; torsio

Full Text:

PDF

References


Srinivas G. N, Cullen P. Intestinal obstruction due to Meckel’s diverticulum: A rare presentation. Acta Chir. Belg. 2007; 107(1): 64–6.

Williams RS. Managament of Meckel’s diverticulum. Br J Surg. 1981; 68(7): 477–80.

Spottswood SE, Pfluger T, Bartold SP, et al. SNMMI and EANM practice guideline for meckel diverticulum scintigraphy 2.0. J Nucl Med Technol. 2014; 42(3): 163–9.

DiGiacomo JC, Cottone FJ. Surgical treatment of Meckel’s diverticulum. South Med J. 1993; 86(6): 671–5.

Cullen JJ, Kelly KA, Moir CR, Hodge DO, Zinsmeister AR, Melton Lj 3rd. Surgical management of Meckel’s diverticulum. An epidemiologic, population-based study. Ann Surg 1994; 220(4): 564–9.

Artigas V, Calabuig R, Badia F, Rius X, Allende L, Jover J. Meckel’s diverticulum: value of ectopic tissue. Am J Surg. 1986; 151(5): 631–4.

Mackey WC, Dineen P. A fifty-year experience with Meckel’s diverticulum. Surg Gynecol Obst. 1983; 156(1): 56–64.

Shinohara M, Mori M, Mimuro A, at all. A Case of Perforated Meckel’s Diverticulum in the Elderly — A Review of 119 Cases. Journal of Japanese College of Surgeons. 2004; 29(6): 1002–6.

McKay R. High incidence of symptomatic Meckel’s diverticulum in patients less than fifty years of age: an indication for resection. Am Surg. 2007; 73(3): 271–5.

Dumper J, Mackenzie S, Mitchell P, Sutheriand F, Quan ML, Mew D. Complications of Meckel’s diverticula in adults. Can J Surg. 2006; 49(5): 353–7.

Thirunavukarasu P, Sathaiah M, Sukumar S et al. Meckel’s diverticulum — a high-risk region for malignancy in the ileum. Insights from a population-based epidemiological study and implications in surgical management. Ann Surg. 2011; 253 (2): 223–30.

Mohiuddin SS, Gonzalez A, Corpron C. Meckel’s diverticulum with small bowel obstruction presenting as appendicitis in a pediatric patent. JSLS. 2011; 15(4): 558–61.

Caillouet IS, Jaffe BM. Torsion and gangrene of a Meckel’s divertikulum. J La State Med Soc. 2009; 161(1): 19–22.

Kivak G, Ergul E, Sarikaya SM, Kusdemir A. Axial torsion and gangrene of a giant Meckel’s diverticulum mimicking acute appendicitis. J Pak Med Assoc. 2009; 59(6): 408–9.

Tauro LF, George C, Rao BS, Martis JJ, Menezes LT, Shenoy HD. Asymptomatic Meckel’s diverticulum in adults: is diverticulectomy indicated? Saudi J Gastroenterol. 2010; 16(3): 198-202.

Alemayehu H, Stringel G, Lo IJ, et al. Laparoscopy and complicated meckel diverticulum in children. JSLS. 2014; 18(3): e2014.00015.

Ruscher KA, Fisher JN, Hughes CD, et al. National trends in the surgical management of Meckel’s diverticulum. J Pediatr Surg. 2011; 46(5): 893–6.




DOI: http://dx.doi.org/10.24125/sanamed.v10i2.26

Refbacks

  • There are currently no refbacks.


Copyright (c) 2016 SANAMED

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.