E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Meckelís diverticulum: Clinical manifestations and complications

Prashant Mukadam, Mukesh S Suvera, Khyati C Vaja, Nirav Shah, Noopur Patel.

Abstract
Background: Meckelís diverticulum (MD), a congenital anomaly of the gastrointestinal tract due to failed vitelline duct obliteration, affects 2% of population. It is a true diverticulum located along the antimesenteric border of distal ileum within 100 cm of the ileocecal valve. It contains heterotropic mucosa, 60% of which is gastric mucosa followed by pancreatic acini, colonic mucosa, etc. The key surgical principle is to completely remove symptomatic ectopic tissue.

Objectives: The objectives of the study were to investigate clinical features and common complications of MD in different ages and genders that serve as a reminder to clinicians evaluating potential cases and help them giving proper management.

Materials and Methods: A combined prospective and retrospective study of 30 patients operated for MD found incidentally on operative table or planned electively was done.

Results: In our study, there was a clear male predominance with 21 cases (70%). It was more common in young and middle age (11Ė40 years) with 26 cases (86%). Common symptomatic presentations were obstruction (30%), perforation (13%), and diverticulitis (10%). The cases were surgically managed according to the size of base and length of the diverticulum. Post-operative complications were commonly seen in older age and symptomatic patients.

Conclusion: MD is having low incidence, overlapping signs and symptoms of other conditions and higher post-operative complications. Hence, it is quite important to include it in differential diagnosis, diagnose it early and apply prompt surgical management.

Key words: Meckelís Diverticulum; Diverticulitis; Tenesmus; Gastrointestinal Bleeding; Complications


 
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How to Cite this Article
Pubmed Style

Mukadam P, Suvera MS, Vaja KC, Shah N, Patel N. Meckelís diverticulum: Clinical manifestations and complications. Int J Med Sci Public Health. 2019; 8(2): 140-144. doi:10.5455/ijmsph.2019.1133230112018


Web Style

Mukadam P, Suvera MS, Vaja KC, Shah N, Patel N. Meckelís diverticulum: Clinical manifestations and complications. http://www.ijmsph.com/?mno=17477 [Access: August 20, 2019]. doi:10.5455/ijmsph.2019.1133230112018


AMA (American Medical Association) Style

Mukadam P, Suvera MS, Vaja KC, Shah N, Patel N. Meckelís diverticulum: Clinical manifestations and complications. Int J Med Sci Public Health. 2019; 8(2): 140-144. doi:10.5455/ijmsph.2019.1133230112018



Vancouver/ICMJE Style

Mukadam P, Suvera MS, Vaja KC, Shah N, Patel N. Meckelís diverticulum: Clinical manifestations and complications. Int J Med Sci Public Health. (2019), [cited August 20, 2019]; 8(2): 140-144. doi:10.5455/ijmsph.2019.1133230112018



Harvard Style

Mukadam, P., Suvera, . M. S., Vaja, . K. C., Shah, . N. & Patel, . N. (2019) Meckelís diverticulum: Clinical manifestations and complications. Int J Med Sci Public Health, 8 (2), 140-144. doi:10.5455/ijmsph.2019.1133230112018



Turabian Style

Mukadam, Prashant, Mukesh S Suvera, Khyati C Vaja, Nirav Shah, and Noopur Patel. 2019. Meckelís diverticulum: Clinical manifestations and complications. International Journal of Medical Science and Public Health, 8 (2), 140-144. doi:10.5455/ijmsph.2019.1133230112018



Chicago Style

Mukadam, Prashant, Mukesh S Suvera, Khyati C Vaja, Nirav Shah, and Noopur Patel. "Meckelís diverticulum: Clinical manifestations and complications." International Journal of Medical Science and Public Health 8 (2019), 140-144. doi:10.5455/ijmsph.2019.1133230112018



MLA (The Modern Language Association) Style

Mukadam, Prashant, Mukesh S Suvera, Khyati C Vaja, Nirav Shah, and Noopur Patel. "Meckelís diverticulum: Clinical manifestations and complications." International Journal of Medical Science and Public Health 8.2 (2019), 140-144. Print. doi:10.5455/ijmsph.2019.1133230112018



APA (American Psychological Association) Style

Mukadam, P., Suvera, . M. S., Vaja, . K. C., Shah, . N. & Patel, . N. (2019) Meckelís diverticulum: Clinical manifestations and complications. International Journal of Medical Science and Public Health, 8 (2), 140-144. doi:10.5455/ijmsph.2019.1133230112018





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