Meckel‘s diverticulum as a cause of gastrointestinal bleeding in an adolescent patient

Czech version

Authors: D. Sovadinová; T. Limprechtová; K. Borůvková; V. Horáková; M. Machart; T. Pešl
Authors‘ workplace: Klinika dětské chirurgie a traumatologie 3. lékařská fakulta Univerzity Karlovy a Fakultní Thomayerova nemocnice, Praha, Česká republika
Published in: Rozhl. Chir., 2024, roč. 103, č. 4, s. 0.
Category: Case Report
doi: https://doi.org/10.33699/PIS.2024.103.4.138–142

Overview

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

Sources

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

Labels

Surgery Orthopaedics Trauma surgery

Ductal adenocarcinoma of the pancreas, a significant advance in treatment?

Pancreatic cancer – systemic treatment

Imaging methods in the diagnosis and treatment of pancreatic cancer

Minimal invasive surgery of pancreatic cancer at the Department of Surgery of Masaryk university hospital Brno, Czech Republic

Pancreatic surgery at the University Hospital Kralovske Vinohrady: 10-year review with a survival analysis for pancreatic ductal adenocarcinoma

Article was published in

Perspectives in Surgery

2024 Issue 4