Abstract
A Meckel diverticulum is a vestigial remnant of the omphalomesenteric (vitellointestinal) duct. As a congenital anomaly, it is a true diverticulum that includes all 3 coats of the small intestine. It occurs in about 2% of the population. Prevalence in males is 3-5 times higher than in females. Only 2% of cases are symptomatic, which usually presents among children at the age of 2. It generally remains silent. The fact which makes it an important structure is its life threatening complications. We present four such cases which were presented as right iliac fossa pain and intraoperatively diagnosed as complicated meckel diverticulum.
Highlights
International Journal of Biomedical ResearchThis article is available online at www.ssjournals.com ABSTRACT A Meckel diverticulum is a vestigial remnant of the omphalomesenteric (vitellointestinal) duct
Case 1: A 30 year old male patient presented in emergency room with a history of abdominal pain, vomiting and fever of 1 day
The pain was sudden in onset, in the right iliac fossa, of constricting type, continuous in nature, with no radiation of pain and no aggravating or relieving factors
Summary
This article is available online at www.ssjournals.com ABSTRACT A Meckel diverticulum is a vestigial remnant of the omphalomesenteric (vitellointestinal) duct. The fact which makes it an important structure is its life threatening complications We present four such cases which were presented as right iliac fossa pain and intraoperatively diagnosed as complicated meckel diverticulum. 1. Case 1: A 30 year old male patient presented in emergency room with a history of abdominal pain, vomiting and fever of 1 day. Abdominal examination revealed tenderness in the right iliac fossa, maximal at McBurney’s point, rebound tenderness was present, with no free fluid and normal bowel sounds. 2. Case 2: A 45 year old male presented in emergency room with 1 day history of pain abdomen, vomiting and fever. Abdominal examination showed tenderness all over the abdomen with maximal in the right iliac fossa, guarding, rigidity, with no free fluid and no bowel sounds. Resection of gangrenous ileum and ileo-ileal anastomosis was done. (Figure 2)
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