Abstract
BackgroundMeckel’s diverticulum (MD) is the commonest congenital abnormality of the gastrointestinal tract that occurs in 2% of general population. It remains asymptomatic, but it may lead to life-threatening complications. These complications may be misdiagnosed with other gastrointestinal disorders like acute appendicitis, making its diagnosis challenging among pediatricians and pediatric surgeons. In this study, we reported five cases with different presentations of complicated MD in children.ResultsFive patients with different presentations of MD were reported during the period from January 2016 to January 2020. Patients’ demographics, clinical presentations, investigations, operative data, and postoperative outcome were recorded and analyzed.ConclusionsThe present study highlights different presentations of MD. Surgical interference is the main key of treatment of symptomatic MD either by wedge resection of a small base diverticulum or by resection anastomosis of the small intestine in wide base and inflamed diverticulum.
Highlights
Meckel’s diverticulum (MD) is the commonest congenital abnormality of the gastrointestinal tract that occurs in 2% of general population
Meckel’s diverticulum (MD) is the commonest congenital abnormality of the gastrointestinal tract that occurs in around 2% of general population with 2:1 male predominance [1]
MD has different presentations, and about 60% of symptomatic MD occurs in children
Summary
Meckel’s diverticulum (MD) is the commonest congenital abnormality of the gastrointestinal tract that occurs in 2% of general population. Meckel’s diverticulum (MD) is the commonest congenital abnormality of the gastrointestinal tract that occurs in around 2% of general population with 2:1 male predominance [1] It represents incomplete involution of the intestinal end of the vitelline duct which connects the primitive gut to the yolk sac during the 5th to 8th week of gestation [2, 3]. It possesses all three layers of the small intestine, and histologically, it contains heterotopic gastric, colonic, and pancreatic mucosa in about 20–50% of cases [4] It is located on the antimesenteric border of the ileum and becomes complicated in 2% of patients along their lives, typically before the age of 2 years [5].
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