scholarly journals Axially torsional Meckel's diverticulum accompanied by small bowel volvulus: a case report

2021 ◽  
Vol 49 (10) ◽  
pp. 030006052110535
Author(s):  
Yang Chen ◽  
Yongzhi Liu ◽  
Lihui Jiang ◽  
Feng Jiang ◽  
Tieming Zhu
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Standard Treatment ◽  
Meckel’S Diverticulum ◽  
Delayed Diagnosis ◽  
Intestinal Resection ◽  
Meckel's Diverticulum ◽  
Small Bowel Volvulus ◽  
Blind Ending ◽  
Small Intestinal

Small bowel volvulus secondary to Meckel’s diverticulum is rare, and a delayed diagnosis results in disastrous outcomes. Computed tomography is conducive to early differential diagnosis. In particular, a blind-ending pouch structure on CT always indicates Meckel’s diverticulum. Diverticulectomy with or without adjacent partial small intestinal resection is the standard treatment for symptomatic Meckel’s diverticulum. However, the therapy for asymptomatic Meckel’s diverticulum is controversial. Here, we report the case of a 20-year-old man who suffered intestinal obstruction secondary to small bowel volvulus caused by an axially torsional, gangrenous, and giant Meckel’s diverticulum. Diverticulectomy with partial intestinal resection was performed.

scholarly journals T-shaped Meckel’s diverticulum: a rare anatomical variant complicating small bowel volvulus

2018 ◽  
Vol 5 (8) ◽  
pp. 2929
Author(s):  
Vergis Paul ◽  
Ramu R. ◽  
Kocheril Sheryl Mathews ◽  
Ashly Thomas ◽  
Reesha P. A. ◽  
...  
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Terminal Ileum ◽  
Meckel’S Diverticulum ◽  
Exploratory Laparotomy ◽  
Meckel's Diverticulum ◽  
Anatomical Variant ◽  
Small Bowel Volvulus ◽  
Common Presentation ◽  
Congenital Diverticulum

The Meckel's diverticulum is a congenital diverticulum arising from the terminal ileum and is the unobliterated proximal portion of the vitellointestinal duct. Intestinal obstruction due to Meckel’s diverticulum is the most common presentation in adults and is the second most common presentation in children. We present a case of a 58-year-old gentleman presented with acute abdomen who was later found to have Giant T- shaped Meckel’s Diverticulum complicating small bowel volvulus on exploratory laparotomy. A T-shaped Meckel's diverticulum has not yet been described.

scholarly journals Meckel’s Diverticulum Diagnosed by Balloon-Assisted Enteroscopy: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID)

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Jen-Wei Chou ◽  
Chen-Shuan Chung ◽  
Tien-Yu Huang ◽  
Chia-Hung Tu ◽  
Chen-Wang Chang ◽  
...  
Keyword(s):  
Small Bowel ◽  
Meckel’S Diverticulum ◽  
Ileocecal Valve ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Primary Indication ◽  
The Mean ◽  
Small Intestinal ◽  
Retrospective Multicenter Study

Background and Aims. Patients with Meckel’s diverticulum (MD) are difficult to preoperatively diagnose because of its endoscopic inaccessibility. Balloon-assisted enteroscopy (BAE) allows endoscopic access to the entire small intestine. The aim of the current study was to investigate patients with MD diagnosed by BAE in Taiwan. Methods. We conducted a retrospective, multicenter study of patients with MD who were diagnosed by BAE in Taiwan. The clinical characteristics, endoscopic features, histopathological findings, treatment methods, and outcomes were analyzed. Results. A total of 55 patients with MD were enrolled (46 males and 9 females). The mean age at diagnosis was 34.1 years. Overt gastrointestinal bleeding (87.3%) was the primary indication for BAE, followed by abdominal pain (9.1%), suspected small bowel tumor (1.8%), and Crohn’s disease follow-up (1.8%). The mean distance between the ileocecal valve and MD was 71.6 cm (regarding diagnostic yields: BAE—100%, capsule endoscopy—40%, Meckel’s scan—35.7%, computed tomography—14.6%, small bowel series—12.5%, and angiography—11.1%; regarding endoscopic features of MD: a large ostium—89.1%, a small ostium—7.3%, and a polypoid mass—3.6%). Surgical treatment was performed in 76.4% patients, and conservative treatment was performed in 23.6% patients. The mean length of MD in 42 patients who underwent surgical resection was 5.2 cm (in 43 patients of MD with available histopathology: heterotopic gastric tissue, 42.4%, heterotopic gastric and pancreatic tissues, 7%; heterotopic pancreatic tissue, 4.7%; heterotopic colonic tissue, 2.3%; and a neuroendocrine tumor, 2.3%). Conclusions. The current study showed BAE is a very useful modality for detecting MD compared with other conventional modalities.

Inverted Meckel's diverticulum simulating a pedunculated small bowel polyp

1995 ◽  
Vol 20 (3) ◽  
pp. 236-237 ◽  
Author(s):  
M. Simms ◽  
D. A. Malatjalian ◽  
L. Fried ◽  
H. Al-Jawad
Keyword(s):  
Small Bowel ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Inverted Meckel’S Diverticulum

Computed tomography features of small bowel volvulus

2000 ◽  
Vol 44 (4) ◽  
pp. 464-467 ◽  
Author(s):  
Y Han Loh ◽  
Graham D Dunn
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Small Bowel Volvulus

scholarly journals A Case of Small Bowel Strangulation Caused by Meckel’s Diverticulum in a Patient with a Mental Disorder

2016 ◽  
Vol 41 (4) ◽  
pp. 623-628
Author(s):  
Shinji Takahashi ◽  
Shigeru Kanamura ◽  
Takashi Wakamatsu ◽  
Hiromichi Nakayama ◽  
Tomoyuki Goya
Keyword(s):  
Small Bowel ◽  
Mental Disorder ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Small Bowel Strangulation ◽  
Bowel Strangulation

scholarly journals Adult intussusception associated with mesenteric Meckel’s diverticulum and antimesenteric ileal polyp

2019 ◽  
Vol 12 (9) ◽  
pp. e230612
Author(s):  
Adrian K McGrath ◽  
Fatimah Suliman ◽  
Noel Thin ◽  
Ashish Rohatgi
Keyword(s):  
Small Bowel ◽  
Primary Anastomosis ◽  
Meckel’S Diverticulum ◽  
Small Bowel Resection ◽  
Meckel's Diverticulum ◽  
Adult Intussusception ◽  
Histopathological Analysis ◽  
Lead Point ◽  
Benign Polyp ◽  
Antimesenteric Border

Meckel’s diverticulum is the most common congenital abnormality affecting the gastrointestinal tract, affecting 4% of the general population. It is classically located on the antimesenteric border of the ileum within 100 cm of the ileocaecal valve. Complications may include haemorrhage, bowel obstruction, diverticulitis, perforation and malignancy. This report explores the case of intussusception in an adult, in association with a mesenteric Meckel’s diverticulum and adjacent benign polyp. A 40-year-old man presented with acute abdominal pain, affecting the central abdomen and both flanks. CT imaging revealed small bowel intussusception, with either a Meckel’s diverticulum or polyp acting as a lead point. Intraoperatively, the intussusception had already resolved; however, an inflamed outpouching was identified on the mesenteric border of the ileum, with a firm mass palpable within the bowel lumen. A 70 mm small bowel resection and primary anastomosis were performed. Histopathological analysis confirmed an inflamed Meckel’s diverticulum as well as an adjacent diverticulum comprising a benign polyp.

scholarly journals Novel goblet cell gene related to IgGFcγBP is regulated in adapting gut after small bowel resection

2000 ◽  
Vol 279 (5) ◽  
pp. G1003-G1010 ◽  
Author(s):  
Deborah C. Rubin ◽  
Elzbieta A. Swietlicki ◽  
Hristo Iordanov ◽  
Christine Fritsch ◽  
Marc S. Levin
Keyword(s):  
Small Bowel ◽  
Bowel Resection ◽  
Intestinal Resection ◽  
Small Bowel Resection ◽  
Molecular Regulation ◽  
Mrna Levels ◽  
Small Intestinal ◽  
Cell Gene ◽  
Rat Gut

The loss of functional small bowel surface area leads to a well-described adaptive response in the remnant intestine. To elucidate its molecular regulation, a cohort of cDNAs were cloned using a rat gut resection model and subtractive/differential hybridization cloning techniques. This study reports a novel cDNA termed “ileal remnant repressed” (IRR)-219, which shares 80% nucleotide identity with the 3′end of a human intestinal IgG Fc binding protein (IgGFcγBP) and is homologous to human and rat mucins. IRR-219 mRNA is expressed in intestine and colon only. At 48 h after 70% intestinal resection, mRNA levels decreased two- to fivefold in the adaptive small bowel but increased two- to threefold in the colon. Expression of IRR-219 was suppressed in adaptive small bowel as late as 1 wk after resection. IRR-219 expression is also regulated during gut ontogeny. In situ hybridization revealed IRR-219 expression in small intestinal and colonic goblet cells only. Its unique patterns of expression during ontogeny and after small bowel resection suggest distinctive roles in small bowel and colonic adaptation.

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