Meckel‘s diverticulum as a cause of gastrointestinal bleeding in an adolescent patient
Authors:
D. Sovadinová; T. Limprechtová; K. Borůvková; V. Horáková; M. Machart; T. Pešl
Authors place of work:
Klinika dětské chirurgie a traumatologie 3. lékařská fakulta Univerzity Karlovy a Fakultní Thomayerova nemocnice, Praha, Česká republika
Published in the journal:
Rozhl. Chir., 2024, roč. 103, č. 4, s. 0.
Category:
Case Report
doi:
https://doi.org/10.33699/PIS.2024.103.4.138–142
Summary
Meckel‘s diverticulum (MD) is one of the most common malformations of the gastrointestinal tract. Most cases are asymptomatic; clinical symptoms occur only in about 4% of patients, presenting as gastrointestinal bleeding, intestinal obstruction, inflammation, or perforation. Bleeding is most frequently observed in children under 2 years of age. Older patients tend to experience inflammatory complications. Here, we present the case report of a 17-year-old male patient with life-threatening acute gastrointestinal bleeding due to MD. Based on this case report, we performed a retrospective study of a small group of patients admitted to the Department of Pediatric Surgery and Traumatology, Third Faculty of Medicine, Charles University and Thomayer University Hospital in Prague (KDCHT FTN) between January 2012 and March 2023 with the primary or secondary diagnosis of MD.
Keywords:
pediatric population – gastrointestinal bleeding – Meckel‘s diverticulum
Zdroje
- Holcomb G, Murphy J, St Peter S. Holcomb and Ashcraft’s pediatric surgery. 7th Edition, 2019:641−646. ISBN 9780323549400.
- Stone P, Hofeldt M, Campbell J, et al. Meckel diverticulum: ten-year experience in adults. South Med J. 2004;97(11):1038−1041. doi:10.1097/01.SMJ.0000125222.90696.03.
- Salzer H. Uber das Offene Meckelesche Divertikel. Wien Klien Wochnenschr 1904; 17:614−617.
- Deetz E. Perforationsperitonitis von einem Darmdivertikel mit Magenscleimhautbau ausgehend. Deutsch Ztsch Chir. 1907;88:482−493.
- Šnajdauf J, Škába R. Dětská chirurgie. Praha, Galén 2005:220–227. ISBN: 807262329x.
- Park J, Wolff B, Tollefson M, et al. Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950−2002). Ann Surg.2005;241(3):529−533. doi:10.1097/01.sla.0000154270.14308.5f.
- Lequet J, Menahem B, Alves A, et al. Meckel‘s diverticulum in the adult. J Visc Surg. 2017;154(4):253−259. doi:10.1016/j.jviscsurg.2017.06.006.
- Hu Y, Wang X, Jia L, et al. Diagnostic accuracy of high-frequency ultrasound in bleeding Meckel diverticulum in children. Pediatr Radiol. 2020;50(6):833−839. doi:10.1007/s00247-020-04628-x.
- Kuru S, Kismet K. Meckel‘s diverticulum: clinical features, diagnosis and management. Rev Esp Enferm Dig. 2018;110(11):726−732. doi:10.17235/reed.2018.5628/2018.
- Konomatsu K, Kuwai T, Yamaguchi T, et al. Endoscopic full-thickness resection for Meckel’s diverticulum using double balloon enteroscopy. Endoscopy 2017;49:E66−67. doi:10.1055/s-0042-121008.
- Leung Y. Double balloon endoscopy in pediatric patients. Gastrointest Endosc. 2007; 66:54−56. doi:10.1016/j.gie.2007.03.1046.
MUDr. Dagmar Sovadinová
Klinika dětské chirurgie a traumatologie
3. LF UK a Fakultní Thomayerova nemocnice
Vídeňská 800
140 59 Praha 4 – Krč
e-mail: dagmar.sovadinova@gmail.com
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2024 Číslo 4
- Spasmolytic Effect of Metamizole
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- Meckel‘s diverticulum as a cause of gastrointestinal bleeding in an adolescent patient