Giant Meckel's diverticulum: An exceptional cause of intestinal obstruction


Akbulut S., Yagmur Y.

WORLD JOURNAL OF GASTROINTESTINAL SURGERY, cilt.6, sa.3, ss.47-50, 2014 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 6 Sayı: 3
  • Basım Tarihi: 2014
  • Doi Numarası: 10.4240/wjgs.v6.i3.47
  • Dergi Adı: WORLD JOURNAL OF GASTROINTESTINAL SURGERY
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI)
  • Sayfa Sayıları: ss.47-50
  • Anahtar Kelimeler: Meckel's diverticulum, Giant Meckel's diverticulum, Intestinal obstruction, Small bowel
  • İnönü Üniversitesi Adresli: Evet

Özet

Meckel's diverticulum (MD) results from incomplete involution of the proximal portion of the vitelline (also known as the omphalomesenteric) duct during weeks 5-7 of foetal development. Although MD is the most commonly diagnosed congenital gastrointestinal anomaly, it is estimated to affect only 2% of the population worldwide. Most cases are asymptomatic, and diagnosis is often made following investigation of unexplained gastrointestinal bleeding, perforation, inflammation or obstruction that prompt clinic presentation. While MD range in size from 1-10 cm, cases of giant MD (>= 5 cm) are relatively rare and associated with more severe forms of the complications, especially for obstruction. Herein, we report a case of giant MD with secondary small bowel obstruction in an adult male that was successfully managed by surgical resection and anastomosis created with endoscopic stapler device (80 mm, endo-GIA stapler). Patient was discharged on postoperative day 6 without any complications. Histopathologic examination indicated Meckel's diverticulitis without gastric or pancreatic metaplasia. (C) 2014 Baishideng Publishing Group Co., Limited. All rights reserved.