Case Report: Complicated Meckel Diverticulum Spectrum in Children
| Autor: | Ramadhita, Gunadi, Akhmad Makhmudi, Devy Melati, Andi Lestiono, Winda Intan Permatahati, Wahyu Damayanti, Robin Perdana Saputra, Ibnu Sina Ibrohim, Titis Widowati |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Gastrointestinal bleeding RD1-811 Anemia Exploratory laparotomy medicine.medical_treatment Population Peritonitis Case Report segmental small bowel resection and primary anastomosis 03 medical and health sciences 0302 clinical medicine children medicine Meckel diverticulum (complications) education Meckel diverticulum—surgery education.field_of_study business.industry Incidence (epidemiology) exploratory laparotomy medicine.disease Surgery diagnostic challenges Meckel Diverticulum 030220 oncology & carcinogenesis Meckel diverticulum (diagnosis) 030211 gastroenterology & hepatology Complication business |
| Zdroj: | Frontiers in Surgery Frontiers in Surgery, Vol 8 (2021) |
| ISSN: | 2296-875X |
| Popis: | Background: Meckel diverticulum (MD) is the most common congenital anomaly of the intestines, with an incidence of 2% of the general population. It can present as various clinical features with complications and be life threatening if diagnosis is delayed and treatment late.Case Presentation: We report three pediatric cases with complicated MD: one female presented with small-bowel obstruction, one male with peritonitis, and one female with severe iron-deficiency anemia, without gross gastrointestinal bleeding nor any ectopic gastric mucosa. All patients underwent exploratory laparotomy, segmental small-bowel resection, and primary anastomosis. They successfully recovered and were uneventfully discharged on the fourth, seventh, and 10th postoperative days, respectively.Conclusions: MD can present with various complication spectrums, including small-bowel obstruction, peritonitis, and severe iron-deficiency anemia, which may cause difficulty in definitive diagnosis, particularly in children. Segmental small-bowel resection and primary anastomosis are effective surgical approaches and show good outcomes for MD patients. |
| Databáze: | OpenAIRE |
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