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Pediatr Surg Int 2019 Mar 14. Epub 2019 Mar 14.

Department of Pathology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.

Background: Intussusception secondary to pathologic lead points (PLPs) is a potential surgical emergency and almost all cases need surgery. The aim of this study was to evaluate the clinical manifestations, physical examinations and surgical outcomes of secondary intussusception (SI) caused by PLPs, as well as to improve the diagnosis and treatment of PLPs in children and infants.

Materials And Methods: We retrospectively reviewed the records of 83 children and infants who were diagnosed with intussusception secondary to PLPs in our institution. Read More

J Coll Physicians Surg Pak 2019 Mar;29(3):276-277

Department of General Surgery, Nishtar Hospital, Multan, Pakistan.

Small bowel obstruction secondary to phytobezoars is a rare presentation in surgery. These are masses of undigested food and vegetables, which obstruct the narrowest part of gut. We discuss a case of a young patient presenting in emergency department with history of acute abdominal pain, distension and constipation. Read More

Abdom Radiol (NY) 2019 Feb 13. Epub 2019 Feb 13.

Department of Radiology, Fondation Hôpital Saint-Joseph, 185 rue Raymond Losserand, 75674, Paris, France.

Purpose: To present radiological aspects of jejunoileal diverticulosis and its complications.

Results: Jejunoileal diverticulosis is a relatively rare and underestimated condition, which mostly affects the elderly. It is frequently asymptomatic but it can lead to significant complications requiring surgical treatment. Read More

Case Rep Surg 2019 13;2019:2548631. Epub 2019 Jan 13.

National Hospital of Sri Lanka, Sri Lanka.

Small bowel diverticulosis is an uncommon entity. Clinical presentation of small intestinal diverticulosis is variable. A high mortality is associated with complications such as chronic malnutrition, haemorrhage, intestinal obstruction, and perforation. Read More

J Gastrointest Surg 2019 Jan 31. Epub 2019 Jan 31.

Division of Surgical Oncology, Harold C. Simmons Cancer Center, Department of Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390-8548, USA.

Background: Meckel's diverticulum (MD) is an anomaly of the small intestine from which malignancy may arise. Among MD neoplasms, neuroendocrine tumors (NETs) are considered the most common. However, their metastatic potential and optimal surgical therapy remain ill-defined. Read More

J Surg Case Rep 2019 Jan 24;2019(1):rjz003. Epub 2019 Jan 24.

Department of Surgery, Centro Hospitalar do Porto, 4099-001 Porto, Portugal.

Meckel's diverticulum is the commonest congenital abnormality of the gastrointestinal tract. Most cases are asymptomatic and only incidentally found. Its perforation by a foreign body is an extremely rare event. Read More

Acta Gastroenterol Belg 2018 Oct-Dec;81(4):534-537

Department of Gastroenterology, AZ Klina, Brasschaat, Belgium.

Meckel's diverticulum is the most common congenital gastrointestinal malformation and may present with bleeding, obstruction and diverticulitis. Symptomatic Meckel's diverticulum is associated with age <50 years, male gender, diverticular length > 2 cm and ectopic mucosa. Formation of enteroliths is a rare complication of Meckel's diverticulum and the majority of stones will remain in the diverticulum. Read More

Am Surg 2018 Dec;84(12):e561-e563

Am Surg 2018 Dec;84(12):e524-e526

Clin Med Res 2018 12;16(3-4):92-94

Department of Surgery named after N.D. Monastyrski, North-Western State Medical Academy named after I.I. Mechnikov, Saint Petersburg, Russia.

Pan Afr Med J 2018 17;30:214. Epub 2018 Jul 17.

Clinique Universitaire de Chirurgie Pédiatrique CNHU-HKM, Cotonou, Bénin.

Meckel's diverticulum is the most common congenital anomaly of the small bowel. Although it is a common anomaly in the general population, its occurrence in a hernial sac, in particular at the umbilicus, is uncommon and it is known as Littré's hernia. We here report the case of a 6-month female infant, admitted with painful irreducible umbilical swelling. Read More

G Chir 2018 Nov-Dec;39(6):395-398

Background: Bleedings such as melaena are related to diseases in the upper gastrointestinal tract. In 0.06% - 5% of cases these incidents are due to the presence of diverticula of the small intestine, which are asymptomatic and unrecognized in most patients and are only fully diagnosed in cases when complications occur. Read More

Parasitol Res 2019 Feb 13;118(2):583-598. Epub 2018 Dec 13.

Department of Pathobiology, University of Guelph, Guelph, Ontario, N1G2W1, Canada.

Differentiating the Eimeria species causing cecal coccidiosis in turkeys is challenging. To obtain benchmark biological data for Eimeria gallopavonis Hawkins 1952 and Eimeria meleagridis Tyzzer 1929 and to support the stability of the species concept for each, genetically typed, single oocyst-derived lines of E. gallopavonis Weybridge strain and E. Read More

Rozhl Chir 2018 ;97(8):399-401

Intussusception due to an inverted Meckel's diverticulum in adults is rare. We present a case report of a 28-year-old man with Meckel's diverticulum as a cause of ileo-ileal intussusceptions and lower gastrointestinal bleeding. The patient was admitted to the hospital with incomplete small bowel obstruction, abdominal pain and massive rectal bleeding. Read More

Medicine (Baltimore) 2018 Oct;97(43):e13004

The Department of Nuclear Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.

Rationale: Meckel's diverticulum (MD) is common congenital abnormality of gastrointestinal tract, only about 6.4% of patients become symptomatic. A smaller minority develop potential fatal complications such as hemorrhage, perforation, abscess, and bowel obstruction. Read More

Int J Surg Case Rep 2018 4;53:35-38. Epub 2018 Oct 4.

Cukurova University, Department of General Surgery, Adana, Turkey.

Introduction: Meckel's diverticulum is the most common congenital lesion of the small intestine. The incidence varies between 0.5% and 2% Biliary stents can be used for the treatment of patients with bile duct complications. Read More

Acta Gastroenterol Belg 2018 Jul-Sep;81(3):367-372

Faculty of Medicine, The Hashemite University, Zarqa, Jordan.

Background And Study Aims: Intussusception in adults often remains unrecognized. Our aim was to report our experience with this entity to determine the usefulness of CT scan in its preoperative diagnosis.

Patients And Methods: The medical records and imaging studies of all patients ≥16 years of age with intussusception, who were managed at our hospitals, were retrospectively reviewed. Read More

Zootaxa 2018 Oct 4;4496(1):287-301. Epub 2018 Oct 4.

College of Architectural and Environmental Engineering, Chengdu Technological University, Chengdu, 610031, China.

Four new species belonging to genera Amyntha and Metaphire were discovered from an extensive area in southern China, covering the provinces Sichuan, Yunnan, Guizhou, Guangdong, Guangxi, Fujian, Hunan, Jiangxi and Anhui. The species are named Amynthas dispersus Sun Qiu, sp. nov. Read More

Medicine (Baltimore) 2018 Sep;97(38):e12457

Digestive Surgery Unit, European Georges Pompidou University AP-HP Hospital.

Complicated Meckel's diverticulum represents a common etiology of acute abdomen in children. However, this condition is less frequent in adults. We reviewed the records of adult patients who underwent the surgical removal of complicated Meckel's diverticulum between 2001 and 2017 at 2 tertiary French medical centers. Read More

J Med Case Rep 2018 Sep 19;12(1):269. Epub 2018 Sep 19.

King Saud Medical City, 7790 Al-Imam Abdul Aziz Ibn Muhammad Ibn Saud, Ulaishah, Riyadh, 12746, Kingdom of Saudi Arabia.

Background: Meckel's diverticulum, with an incidence of 2%, is the most common congenital anomaly in the gastrointestinal tract. Its main complications are perforation, obstruction, and bleeding. A few studies have reported that blunt abdominal trauma may result in perforation or obstruction to Meckel's diverticulum. Read More

Cir Cir 2018 ;86(5):450-454

División de Investigación Clínica. Hospital General Dr. Manuel Gea González, Ciudad de México, México.

Introducción: El divertículo de Meckel es un remanente del conducto onfalomesentérico y su prevalencia es del 2%.

Caso Clínico: Niño de 12 años con dolor abdominal, acompañado de evacuaciones mucosanguinolentas y hematemesis, con masa en cuadrante inferior derecho. En la laparotomía quirúrgica se encontró invaginación, y se realizó desinvaginación y resección del divertículo de Meckel. Read More

Rev Med Liege 2018 Sep;73(9):474-479

Service de Pédiatrie, CHA Libramont, Belgique.

The persistence of the embryonic vitelline duct can lead to omphalomesenteric duct anomalies. A wide variety of anomalies, depending on the remnant segment and its degree of involution, may occur as a result of the omphalomesenteric duct failing to obliterate completely. The most frequent omphalomesenteric duct anomaly is Meckel's diverticulum, which is present in approximately 2-3 % of the population. Read More

Clin Nucl Med 2018 Nov;43(11):825-827

From the Department of Nuclear Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, People's Republic of China.

A previously healthy 11-year-old boy with intermittent abdominal pain and bloody stool underwent Meckel scintigraphy. On the initial images, there was a faint U-shaped activity in the mid-abdominal region, which gradually faded and evolved into distinct foci of radiotracer accumulation in the later images. One of the foci changed its location during the study, suspected as moving Meckel diverticulum. Read More

Medicine (Baltimore) 2018 Aug;97(35):e12154

Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger.

Background: The contemporary demographics and prevalence of Meckel's diverticulum, clinical presentation and management is not well described. Thus, this article aims to review the recent literature concerning Meckel's diverticulum.

Methods: A systematic PubMed/Medline database search using the terms "Meckel" and "Meckel's" combined with "diverticulum. Read More

Surg Case Rep 2018 Aug 30;4(1):105. Epub 2018 Aug 30.

Department of Surgery, Fujimoto General Hospital, 17-1 Hayasuzu-cho, Miyakonojo, Miyazaki, 885-0055, Japan.

Background: The presence of a vitelline vascular remnant is rare, and definitive preoperative diagnosis is difficult. We herein describe a case of intestinal obstruction caused by a vitelline vascular remnant with mild chronic appendicitis successfully diagnosed and treated with laparoscopic surgery.

Case Presentation: A 14-year-old male was admitted to our hospital with sudden-onset right lower abdominal pain and vomiting. Read More

BMC Surg 2018 08 29;18(1):67. Epub 2018 Aug 29.

Department of General Surgery, Dow University of Health Sciences, Civil Hospital Karachi, Karachi, Pakistan.

Background: Morgagni's hernia (MH) is a rare type of congenital diaphragmatic hernia with limited available literature. Late presentations are infrequent and the ones complicated due to gastric volvulus are even rarer. Another uncommon association of MH is with small bowel diverticulosis. Read More

Vet Pathol 2019 Jan 21;56(1):152-156. Epub 2018 Aug 21.

1 Institute of Veterinary Pathology, Freie Universität Berlin, Berlin, Germany.

Acquired outpouches of the intestinal tract are referred to as pseudodiverticula or false pulsion diverticula. In contrast to true diverticula, in which the wall contains all layers of the intestinal tract, the wall of pseudodiverticula lacks the tunica muscularis. Smooth muscle hypertrophy of the small intestine is commonly considered a cause of pseudodiverticulosis in animals due to increased intraluminal pressure. Read More

Cir Cir 2018 ;86(4):370-373

Servicio de Cirugía General y del Aparato Digestivo, Hospital Obispo Polanco, Teruel, España.

Antecedentes: La neumatosis quística intestinal es una condición infrecuente, caracterizada por la formación de quistes de contenido gaseoso debajo de la mucosa y la serosa intestinales.

Caso Clínico: Mujer de 84 años, con antecedente de artritis reumatoide en tratamiento inmunosupresor, intervenida hace 2 años por neumoperitoneo, con diagnóstico de diverticulosis yeyunal y enfisema mesentérico, acude con cuadro de dolor abdominal difuso de 2 días de evolución, sin otra sintomatología. En la radiografía de abdomen se observa neumoperitoneo con elevación del hemidiafragma derecho y distensión de asas del intestino delgado. Read More

Surg Laparosc Endosc Percutan Tech 2018 Oct;28(5):314-317

Department of Pediatric Surgery, Huai'an Women and Children's Hospital, Jiangsu, P.R. China.

Purpose: Idiopathic intussusception is one of the most common causes of small bowel obstruction in children. To decrease subsequent recurrence and to detect a lead point, an early laparoscopy was performed for children with multiple recurrent ileocolic intussusception.

Materials And Methods: Between January 2014 and July 2017, a total of 2561 consecutive children with intussusception were treated and followed. Read More

BMJ Case Rep 2018 Jul 24;2018. Epub 2018 Jul 24.

Pathology, Gold Coast University Hospital, Southport, Queensland, Australia.

We report the case of a 9-year-old boy who presented with abdominal pain and was found to have an intussusception with a sporadic Burkitt's lymphoma (BL) lead point. Our case was unusual in that the patient did not present with the typical clinical features of BL, nor was he in a high-risk demographic for this uncommon disease. Read More

J Belg Soc Radiol 2018 Jan 31;102(1):10. Epub 2018 Jan 31.

Department of Radiology, Clinique St. Luc, Bouge (Namur), BE.

We report an unusual case of small bowel obstruction caused by a large enterolith released from small bowel diverticulitis in a 81-year-old patient with occult massive Diffuse Jejuno-Ileal Diverticulosis (DJID). DJID is a rare condition whose symptoms are usually absent or non-specific. In most cases, the diagnosis of DJID is incidentally made or consecutive to secondary complications comprising obstruction, haemorrhage, diverticulitis and perforation. Read More

J Int Med Res 2018 Aug 3;46(8):3427-3434. Epub 2018 Jul 3.

Department of Pediatric Surgery, Wuxi Children's Hospital, Wuxi, Jiangsu, China.

Intussusception is common in children. Double simultaneous intussusception is a peculiar variety of intussusception with only 14 previously reported cases. We report a unique case of a child who suffered from double simultaneous intussusception with two lead points (Meckel's diverticulum and intestinal duplication). Read More

Endokrynol Pol 2018 ;69(3):313-317

Nuclear Medicine Department, Medical University of Warsaw, Warsaw, Poland.

A case of 25- years-old female with NET deriving from Meckel's diverticulum is described. The patient had one year history of dermatological skin problems. Ultrasound examination of abdomen performed because of arterial hypertension, revealed multiple hepatic lesions, which was confirmed in contrast enhanced CT. Read More

Clin J Gastroenterol 2018 Dec 18;11(6):476-480. Epub 2018 Jun 18.

Department of Surgery, Hitachi General Hospital, 2-1-1 Jonan-cho, Hitachi, Ibaraki, 317-0077, Japan.

While there have been numerous reports about colovesical fistulas and ruptured intestinal diverticula, there have been far fewer reports about vesicointestinal fistulas caused by Meckel's diverticula. Most Meckel's diverticula are asymptomatic. Furthermore, they seldom cause vesicointestinal fistulas, and the associated complications are non-specific. Read More

Pediatr Int 2018 May;60(5):494-496

Department of Pediatric Surgery, Takamatsu Red Cross Hospital, Takamatsu, Kagawa, Japan.

Pan Afr Med J 2018 29;29:81. Epub 2018 Jan 29.

Service de Chirurgie Générale, CHU Aristide Le Dantec, Dakar, Sénégal.

We conducted a retrospective study of 15 patients with complicated Meckel diverticula treated in the emergency surgery at the Aristide Le Dantec Hospital, Dakar, over a period of 13 years (January 2003-June 2016). The study included 10 men and 5 women, whose average age was 27.8 years, ranging between 1 months and 73 years. Read More

J Coll Physicians Surg Pak 2018 Jun;28(6):S78-S80

The VIP Ward, The First Affliated Hospital, The Fourth Military Medical University of the PLA, Xian, China.

An 82-year patient presented with nausea, coffee-ground emesis, melena and hematochezia on July 10, 2011. The patient received blood transfusion on July 11, and continued to bleed from July 12 to 17. The patient underwent upper gastrointestinal endoscopy on July 16. Read More

Eur J Gastroenterol Hepatol 2018 09;30(9):1009-1012

Department of Gastroenterology, Ankara Training and Research Hospital, Ankara, Turkey.

Background: The use of needle-knife fistulotomy technique in patient with periampullary diverticula (PAD) for biliary duct cannulation may lead to risk of complications. The present study aimed to investigate the association between PAD and the complications of endoscopic retrograde cholangiopancreatography (ERCP), unsuccessful cannulation rates and to determine the rates of cannulation complications using sphincterotomy and needle-knife fistulotomy.

Materials And Methods: The ERCP procedures were held in Gastroenterology Endoscopy Unit between September 2015 and October 2016 and were retrospectively evaluated. Read More

Khirurgiia (Mosk) 2018(5):40-44

Martynov Chair of Hospital-Based Surgery # 1, Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Vorokhobov Municipal City Clinical Hospital No. 67 Moscow Healthcare Department, Moscow, Russia.

Aim: To evaluate the effectiveness of complex preoperative diagnostics and medication of intussusception followed by intestinal obstruction in adults with the choice of surgical repair and analysis of the outcomes depending on the causes of intussusception.

Material And Methods: 15 intussusception patients aged 19 - 86 years were enrolled. Mean age was 52. Read More

Minerva Chir 2019 Apr 24;74(2):137-145. Epub 2018 May 24.

Department of Emergency and Trauma Surgery, University Hospital of Parma, Parma, Italy.

Introduction: Small bowel non-Meckelian diverticulitis (SBNMD) is not so an uncommon cause of admission in departments of emergency surgery. Our aim is to highlight signs and symptoms for early diagnosis and report proper surgical treatments.

Evidence Acquisition: The systematic review protocol was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocol (PRISMA-P). Read More

Surg Radiol Anat 2018 Aug 21;40(8):963-965. Epub 2018 May 21.

Service de Chirurgie Infantile, Hôpital de la Timone, 13005, Marseille Cedex 20, France.

Ectopic pancreas also known as heterotopic pancreas (HP) is a rare congenital anomaly, mainly found as incidental finding during autopsy or abdominal exploration for an other condition. Incidence rate is probably underestimated as patients are mostly asymptomatic; otherwise, it is capable of producing symptoms depending on its location, size, often appearing in the 4th-to-6th decades. Complications such as inflammation, obstruction, bleeding, and malignancy degeneration must be considered. Read More

BMJ Case Rep 2018 May 16;2018. Epub 2018 May 16.

Department of Surgery, NYU Langone Hospital - Brooklyn, Brooklyn, New York, USA.

Clin Nucl Med 2018 Jul;43(7):559-560

From the Departments of Nuclear Medicine and.

A Meckel's scintigraphy using TcO4 was performed in a 9-year-old boy. The images revealed an elongated abnormal radiotracer accumulation in the right abdomen, which was confirmed as Meckel diverticulum combined with an omphalomesenteric cyst. Read More

Chirurgia (Bucur) 2018 Mar-Apr;113(2):266-269

Meckel's diverticulum is a congenital anomaly which can become complicated or remain asymptomatic throughout life. During pregnancy, however, diverticulum infection could become a serious complication. Diverticulum necrosis and perforation are complications that increase morbidity in pregnancy, both maternal and fetal. Read More

J Pediatr Surg 2018 Jun 9;53(6):1261. Epub 2018 Apr 9.

NaturesPlatform.com, 186 Westside Dr., Boone, NC 28607. Electronic address:

This letter comments on the recent lecture by Dr. Stephen W. Bickler. Read More

Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2018 Apr;40(2):139-145

Department of Radiology,the First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China.

Objective To investigate the clinical value of multi-slice spiral CT(MSCT) in the diagnosis of mild digestive tract hemorrhage. Methods Thirty-five patients with mild gastrointestinal hemorrhage were examined by enhanced MSCT.CT signs were observed and compared with pathologic examination findings. Read More

Dig Liver Dis 2018 Aug 6;50(8):828-832. Epub 2018 Apr 6.

Digestive Endoscopy Unit, University Hospital G. Fucito, Ruggi d'Aragona, Salerno, Italy.

Introduction: Stone extraction represents the most frequent indication for endoscopic retrograde cholangiopancreatography (ERCP). Endoscopic papillary large balloon dilation (EPLBD) is a recent introduced approach consisting of an endoscopic papillary large balloon dilation following limited endoscopic sphyncterotomy (ES), which has been proven to be safe and effective for extraction of large common bile duct (CBD) stones. Peri-ampullary diverticula (PAD) are described in 10-20% of patients undergoing ERCP. Read More

Medicine (Baltimore) 2018 Apr;97(17):e0583

Department of Pediatric Surgery, Children's Hospital of Soochow University, Suzhou, China.

Rationale: Annular pancreas (AP) is recognized as a cause of duodenal obstruction in children, while children with Meckel's diverticulum (MD) are usually asymptomatic. Here we present a rare case with both AP and MD, which was identified by abdominal exploration during diamond-shaped duodenoduodenostomy.

Patient Concerns: A "double-bubble" sign was found by ultrasound at 35 week of pregnancy. Read More

J Pediatr Surg 2018 Jul 23;53(7):1437-1439. Epub 2018 Mar 23.

Division of Pediatric Surgery, Department of Surgery, University of Utah School of Medicine, 100 N. Mario Capecchi Drive, Suite 3800, Salt Lake City, UT, 84113. Electronic address:

Total colonic aganglionosis is a rare phenotype of Hirschsprung disease (HD). While the diagnosis is generally established within the neonatal period there are reports of delayed presentation. In this case, we describe a 9-month old girl with no previous medical or surgical history who presented with a small bowel obstruction. Read More