Mechanical intestinal occlusion by Meckel's diverticulum in an adult
Keywords:
Meckel's diverticulum, intestinal occlusion, adult.Abstract
Introduction: The incidence of Meckel's diverticulum in the general population is approximately 1 to 2 % and clinical manifestations are seen in only 20 % of these people. The diagnosis in the remaining 80 % is incidental and is made by surgical findings, reported in approximately 2 % of autopsies.Objective: To describe the clinical presentation and surgical characteristics of mechanical intestinal occlusion by Meckel's diverticulum in the adults.
Clinical case: 54-year-old male patient who was attended with a painful abdominal condition and clinical elements of an occlusive syndrome. During surgery, a broad-based Meckel's diverticulum was found as a point of attachment, and small intestine volvulus. A terminal resection and anastomosis was performed in one plane. Postoperative evolution was satisfactory.
Conclusions: Mechanical intestinal occlusion secondary to Meckel's diverticulum is a rare cause of occlusive syndrome that must be taken into account in surgical practice.
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References
1. Gray SW. Anomalías congénitas. Barcelona: Editorial Jims; 1975.
2. Ruiz Borrego J. Características clínicas del divertículo de Meckel en la población infantil. Rev Gastroenterol Perú. 1995[acceso:15/08/2017];15(3):247-54. Disponible en: https://bases.bireme.br/cgi-bin/wxislind.exe/iah/online/?IsisScript=iah/iah.xis&src=google&base=AD-OLEC&lang=p&nextAction-=lnk&exprSearch=161892&index-Search=ID
3. Kapischke M, Bley K, Delta E. Meckel's diverticulum. Surg Endosc. 2003; 17(2):351.
4. Romano F, Franciosi C, Cerea K, Bravo AF, Colombo G, Uggeri F. A case of carcinoid of Meckel's diverticulum associated with gastric adenocarcinoma. Tumori. 2001[acceso: 15/08/2017];87(4):272-5. Disponible en: https://journals.sagepub.com/doi/10.1177/030089160108700413
5. Freeman HJ. Meckel's diverticulum in Crohn's disease. Can J Gastroenterol. 2001[acceso: 20/08/2019];15(5):308-11. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/11381298
6. Chan KW, Lee KH, Mou JW, Cheung ST, Tam YH. Laparoscopic management of complicated Meckel´s diverticulum in children: 10-year review. Surg Endosc. 2008 [acceso: 20/01/2012]; 22(6):1509-12. Disponible en: https://link.springer.com/article/10.1007/s00464-008-9832-0#page-1
7. Darlington CD, Anitha GFS. Meckel's Diverticulitis Masquerading as Acute Pancreatitis: A Diagnostic Dilemma. Indian J Crit Care Med. 2017[acceso: 20/08/2019]; 21(11):789-92. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699010/
8. Chatterjee A, Harmath C, Vendrami CL, Hammond NA, Mittal P, Salem R, et al. Reminiscing on Remnants: Imaging of Meckel Diverticulum and Its Complications in Adults. AJR Am J Roentgenol. 2017[acceso: 20/08/2019]; 209(5):287-6. Disponible en: https://www.ajronline.org/doi/full/10.2214/AJR.17.18088
9. Lequet J, Menahem B, Alves A, Fohlen A, Mulliri A. Meckel's diverticulum in the adult. J Visc Surg. 2017[acceso: 20/08/2019]; 154(4):253-9. Disponible en https://europepmc.org/article/med/28698005
10. Menezes M, Tareen F, Saeed A, Khan N, Pury P. Symptomatic Meckel's diverticulum in children: a 16-year review. Pediatr Surg Int. 2007[acceso: 20/12/2019]; 24:575-7. Disponible en: https://link.springer.com/article/10.1007/s00383-007-2094-4#page-1
11. Aguayo P, Fraser JD, Peter SD, Ostlie DJ. Perforated Meckel`s diverticulum in a micropremature infant and review of the literature. Pediatr Surg Int. 2009[acceso: 20/12/2019]; 25(6):539-41. Disponible en: https://link.springer.com/article/10.1007/s00383-009-2378-y#page-1
12. Levy AD, Hobbs CM. Meckel diverticulum: radiologic features with pathologic correlation. Radiographics. 2004[acceso: 20/01/2012]; 24(2):565-87. Disponible en: https://pubs.rsna.org/doi/abs/10.1148/rg.242035187
13. Appel MF. Meckel's diverticulum. Text Mad. 1973;69:1038.
14. Barreiro AF. Divertículo de Meckel y abdomen agudo. Rev Esp Enf Apar Dig. 1969; 28:309-28.
15. Griffen WO. Divertículo de Meckel. En: Christopher D. Tratado de patología quirúrgica. La Habana: Editorial Científico-Técnica; 1985. p.1013-5.
16. Cengız F, Chabowski M, Szymanska-Chabowska A, Dorobisz T, Janczak D, Jelen M, et al. A massive bleeding from a gastrointestinal stromal tumor of a Meckel's diverticulum. Srp Arh Celok Lek. 2016[acceso: 20/01/2020]; 144(3-4):219-21. Disponible en: https://www.researchgate.net/publication/303400210
17. Miyata S, Bliss DW. A gastrointestinal stromal tumor found in perforated Meckel's diverticulum. Surg Case Rep. 2016[acceso: 20/01/2020]; 2(1):67. Disponible en https://doi.org/10.1186/s40792-016-0196-8
18. Maglinte DD, Elmore MF, Isenberg M, Dolan PA. Meckel diverticulum: radiologic demonstration by enteroclysis. AJR Am J Roentgenol. 1980[acceso: 20/01/2012]; 134(5):925-32. Disponible en: https://www.ajronline.org/doi/abs/10.2214/ajr.134.5.925
19. Vázquez Merayo EJ, García González LA, Vázquez Martínez YE, de la Rosa Rodríguez R. Divertículo de Meckel complicado. Análisis de 66 pacientes. Rev Cubana Pediatr. 2003 [citado 31/03/2010]; 76(2): [aprox. 8 p.]. Disponible en: https://bvs.sld.cu/revistas/ped/vol75_2_03/ped04203.htm
20. Rosabal Estasio JE, Morales RA, Fernández Gautier M, Morales González RA, González Constantín J. Divertículo de Meckel perforado por cuerpo extraño. Rev Cubana Cir. 2002[citado20/01/2012]; 41(1):[aprox 6 p.]. Disponible en: https://www.bvs.sld.cu/revistas/cir/vol41_1_02/cir12102.htm
2. Ruiz Borrego J. Características clínicas del divertículo de Meckel en la población infantil. Rev Gastroenterol Perú. 1995[acceso:15/08/2017];15(3):247-54. Disponible en: https://bases.bireme.br/cgi-bin/wxislind.exe/iah/online/?IsisScript=iah/iah.xis&src=google&base=AD-OLEC&lang=p&nextAction-=lnk&exprSearch=161892&index-Search=ID
3. Kapischke M, Bley K, Delta E. Meckel's diverticulum. Surg Endosc. 2003; 17(2):351.
4. Romano F, Franciosi C, Cerea K, Bravo AF, Colombo G, Uggeri F. A case of carcinoid of Meckel's diverticulum associated with gastric adenocarcinoma. Tumori. 2001[acceso: 15/08/2017];87(4):272-5. Disponible en: https://journals.sagepub.com/doi/10.1177/030089160108700413
5. Freeman HJ. Meckel's diverticulum in Crohn's disease. Can J Gastroenterol. 2001[acceso: 20/08/2019];15(5):308-11. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/11381298
6. Chan KW, Lee KH, Mou JW, Cheung ST, Tam YH. Laparoscopic management of complicated Meckel´s diverticulum in children: 10-year review. Surg Endosc. 2008 [acceso: 20/01/2012]; 22(6):1509-12. Disponible en: https://link.springer.com/article/10.1007/s00464-008-9832-0#page-1
7. Darlington CD, Anitha GFS. Meckel's Diverticulitis Masquerading as Acute Pancreatitis: A Diagnostic Dilemma. Indian J Crit Care Med. 2017[acceso: 20/08/2019]; 21(11):789-92. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699010/
8. Chatterjee A, Harmath C, Vendrami CL, Hammond NA, Mittal P, Salem R, et al. Reminiscing on Remnants: Imaging of Meckel Diverticulum and Its Complications in Adults. AJR Am J Roentgenol. 2017[acceso: 20/08/2019]; 209(5):287-6. Disponible en: https://www.ajronline.org/doi/full/10.2214/AJR.17.18088
9. Lequet J, Menahem B, Alves A, Fohlen A, Mulliri A. Meckel's diverticulum in the adult. J Visc Surg. 2017[acceso: 20/08/2019]; 154(4):253-9. Disponible en https://europepmc.org/article/med/28698005
10. Menezes M, Tareen F, Saeed A, Khan N, Pury P. Symptomatic Meckel's diverticulum in children: a 16-year review. Pediatr Surg Int. 2007[acceso: 20/12/2019]; 24:575-7. Disponible en: https://link.springer.com/article/10.1007/s00383-007-2094-4#page-1
11. Aguayo P, Fraser JD, Peter SD, Ostlie DJ. Perforated Meckel`s diverticulum in a micropremature infant and review of the literature. Pediatr Surg Int. 2009[acceso: 20/12/2019]; 25(6):539-41. Disponible en: https://link.springer.com/article/10.1007/s00383-009-2378-y#page-1
12. Levy AD, Hobbs CM. Meckel diverticulum: radiologic features with pathologic correlation. Radiographics. 2004[acceso: 20/01/2012]; 24(2):565-87. Disponible en: https://pubs.rsna.org/doi/abs/10.1148/rg.242035187
13. Appel MF. Meckel's diverticulum. Text Mad. 1973;69:1038.
14. Barreiro AF. Divertículo de Meckel y abdomen agudo. Rev Esp Enf Apar Dig. 1969; 28:309-28.
15. Griffen WO. Divertículo de Meckel. En: Christopher D. Tratado de patología quirúrgica. La Habana: Editorial Científico-Técnica; 1985. p.1013-5.
16. Cengız F, Chabowski M, Szymanska-Chabowska A, Dorobisz T, Janczak D, Jelen M, et al. A massive bleeding from a gastrointestinal stromal tumor of a Meckel's diverticulum. Srp Arh Celok Lek. 2016[acceso: 20/01/2020]; 144(3-4):219-21. Disponible en: https://www.researchgate.net/publication/303400210
17. Miyata S, Bliss DW. A gastrointestinal stromal tumor found in perforated Meckel's diverticulum. Surg Case Rep. 2016[acceso: 20/01/2020]; 2(1):67. Disponible en https://doi.org/10.1186/s40792-016-0196-8
18. Maglinte DD, Elmore MF, Isenberg M, Dolan PA. Meckel diverticulum: radiologic demonstration by enteroclysis. AJR Am J Roentgenol. 1980[acceso: 20/01/2012]; 134(5):925-32. Disponible en: https://www.ajronline.org/doi/abs/10.2214/ajr.134.5.925
19. Vázquez Merayo EJ, García González LA, Vázquez Martínez YE, de la Rosa Rodríguez R. Divertículo de Meckel complicado. Análisis de 66 pacientes. Rev Cubana Pediatr. 2003 [citado 31/03/2010]; 76(2): [aprox. 8 p.]. Disponible en: https://bvs.sld.cu/revistas/ped/vol75_2_03/ped04203.htm
20. Rosabal Estasio JE, Morales RA, Fernández Gautier M, Morales González RA, González Constantín J. Divertículo de Meckel perforado por cuerpo extraño. Rev Cubana Cir. 2002[citado20/01/2012]; 41(1):[aprox 6 p.]. Disponible en: https://www.bvs.sld.cu/revistas/cir/vol41_1_02/cir12102.htm
Published
2021-03-15
How to Cite
1.
Valle Lara Y, Aparicio Cáceres J, Rodríguez Navarro D, Estrada Castillo M, Jiménez Hernández OL, Quintana Ruiz M. Mechanical intestinal occlusion by Meckel’s diverticulum in an adult. Rev Cubana Med Milit [Internet]. 2021 Mar. 15 [cited 2025 May 18];50(1):e0210774. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/774
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