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Ann Palliat Med 2021 Jun 2. Epub 2021 Jun 2.

Université de Paris, Department of Gastroenterology, AP-HP Hôpital Saint Louis, Paris, France.

We provide a unique case of haemorrhagic shock complicating a corticosteroid-resistant diffuse ulcerative enteritis in a patient treated with a combination of an anti CTLA-4 and an anti PD-1 for metastatic melanoma. Immunotherapy has changed the perspective for the management of patients with metastatic melanoma but are also responsible for digestive complications mainly represented by immunomediated colitis. Digestive bleeding is common in patients with extensive colonic lesions but has never been described in enteritis independent of colitis. Read More

Front Surg 2021 25;8:674382. Epub 2021 May 25.

Pediatric Surgery Division, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, Indonesia.

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. 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. Read More

Int J Surg Case Rep 2021 May 21;83:105994. Epub 2021 May 21.

Department of General Surgery, Beaumont, Health Farmington Hills, MI, USA.

Introduction: A Meckel's diverticulum is a rare but known cause of an acute abdomen and can often be confused for acute appendicitis on physical examination. It is caused by an incomplete closure of the omphalomesenteric duct. It is present in 2% of the population and only 2% of those patients are symptomatic. Read More

Medicina (Kaunas) 2021 May 13;57(5). Epub 2021 May 13.

Clinical Medical Department, Faculty of Medicine and Pharmacy, "Dunărea de Jos" University, 800216 Galați, Romania.

Meckel's diverticulum (MD), a remnant of the omphaloenteric duct, is among the most frequent intestinal malformations. Another embryonic vestige is the urachus, which obliterates, becoming the median umbilical ligament; the failure of this process can lead to a urachal cyst formation. We present a case of Meckel diverticulitis misdiagnosed as an infected urachal cyst. Read More

Medicina (Kaunas) 2021 May 3;57(5). Epub 2021 May 3.

3rd Surgery Department, AHEPA University Hospital, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54621 Thessaloniki, Greece.

Meckel's diverticulum is a common congenital abnormality of the gastrointestinal tract encountered in about 1-3% of the general population. Although most patients remain asymptomatic, a minority will experience serious complications such as acute abdomen, haemorrhage or obstructive ileus. Of all patients presenting with symptoms of obstruction due to Meckel's diverticulum 7-18% is due to volvulus. Read More

J Med Case Rep 2021 May 22;15(1):264. Epub 2021 May 22.

Department of General Surgery, Maulana Azad Medical College, New Delhi, India.

Background: Inverted Meckel's diverticulum refers to the condition in which the diverticulum inverts on itself. The reasons for such an inversion are poorly understood due to the rarity of the condition. We present a case of inverted Meckel's diverticulum, an uncommon finding, as a cause of recurrent intussusception. Read More

Cesk Patol 2021 ;57(1):44-48

In this paper, we report autopsy findings of a 1-day old full-term mature female neonate with pulmonary hypoplasia diagnosed postnatally. Death was attributed to acute respiratory failure due to hyaline membrane disease. We describe pathological features of calcified Meckels diverticulum with osseous metaplasia and inflammatory changes in adjacent peritoneum. Read More

Cureus 2021 Mar 24;13(3):e14078. Epub 2021 Mar 24.

Department of Surgery, West Virginia University, Martinsburg, USA.

Gallstone ileus is an uncommon cause of intestinal obstruction in the elderly. It is typically recognized on computed tomography by the presence of pneumobilia and a gallstone in the right iliac fossa. Nonetheless, it is important to consider that gallstone ileus may represent the presentation of another pathology rather than an entity on its own. Read More

J Surg Res 2021 Apr 10;264:362-367. Epub 2021 Apr 10.

Division of Pediatric Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.

Background: Meckel's Diverticulum (MD) is a common congenital anomaly accounting for half of pediatric gastrointestinal bleeds. No large-scale studies exist comparing open and laparoscopic surgery and conversion rates remain high. We sought to compare postoperative outcomes associated with each approach and to determine risk factors for conversion. Read More

ANZ J Surg 2021 04;91(4):761-762

Department of Colorectal Surgery, Garg Fistula Research Institute, Panchkula, India.

Int J Gynecol Pathol 2021 Mar 29. Epub 2021 Mar 29.

Department of Pathology (M.M.S., A.E., U.D., A.M.M.) Department of Pathology/Center for Pediatric Pathology (A.M.M.) Department of Obstetrics and Gynecology (M.R.M.) Department of General, Visceral and Tumor Surgery (R.K.) Department of Radiology (G.B.) Department of Gastroenterology (F.K.), University Hospital of Cologne, Cologne, Germany.

Although extremely rare, uterine damage after hysteroscopic myomectomy sets the precondition for various life-threatening placental attachment disorders like placenta percreta (PP) or scar pregnancy. Due to vast clinical similarities, these terms are often used interchangeably. We report a case of a 47-yr-old patient at 27 wk + 4 d of gestation who presented with rectal bleeding. Read More

BMJ Case Rep 2021 Mar 29;14(3). Epub 2021 Mar 29.

General Surgery, Hospital Angeles Metropolitano, Mexico City, Mexico.

Meckel's diverticulum is the most common intestinal congenital defect, its prevalence is 0.2%-4.0% and it occurs more commonly in children younger than 2-year old with intestinal bleeding and abdominal pain. Read More

Radiol Case Rep 2021 May 4;16(5):1118-1122. Epub 2021 Mar 4.

Department of Radiology, Medical University of South Carolina University Medical Center, 25 Courtenay St., Charleston, SC, 29412 USA.

Inverted Meckel's diverticulum is an entity often discovered incidentally or through a clinical evaluation for gastrointestinal bleeding. While rare, inverted Meckel's diverticulum should be considered in the evaluation of a patient presenting with gastrointestinal bleeding, intestinal obstruction, or intussusception. In this case, a 67-year-old female with a remote history of surgically treated breast cancer presents to an urgent care facility with weakness and fatigue. Read More

Medicine (Baltimore) 2021 Mar;100(10):e24823

Department of Gastroenterology, Shenzhen Children's Hospital, Shenzhen city, Guangdong Province, China.

Abstract: The diagnostic and treatment values and safety of preoperative double-balloon enteroscopy (DBE) for Meckel's diverticula (MD) bleeding in children by retrospective review and analyses.The clinical data were collected and analyzed from 10 cases of children with MD receiving preoperative DBE examination and postoperative pathological confirmation. The diagnostic and treatment values and safety were assessed through the comparison of the DBE results and intra-operative observations and subsequently postoperative pathological results. Read More

BMJ Case Rep 2021 Feb 19;14(2). Epub 2021 Feb 19.

General Surgery, Bedfordshire Hospitals NHS Foundation Trust, Bedford, UK.

A 61-year-old man presented with non-specific abdominal symptoms, including left groin pain and change in bowel habits. Investigations revealed a cystic lesion, containing numerous irregular calcifications, with the primary differential being a dermoid cyst containing teeth-like calcifications. At laparoscopy it was found to be a Meckel's diverticulum, containing a large number of enteroliths. Read More

Internist (Berl) 2021 Mar 9;62(3):277-287. Epub 2021 Feb 9.

Medizinische Klinik II, Klinik für Innere Medizin mit Gastroenterologie, Hepatologie, Infektiologie, Neurogastroenterologie, Gastrointestinaler Onkologie, Hämatoonkologie und Palliativmedizin, Helios Klinikum Krefeld, Lutherplatz 40, 47805, Krefeld, Deutschland.

The prevalence of diverticula varies depending on the location within the gastrointestinal tract. Diverticula of the esophagus, stomach and small intestine are rare, more frequent are peripapillary diverticula and colonic diverticula. Meckel diverticula can also be of relevance in adults. Read More

J Surg Case Rep 2021 Jan 25;2021(1):rjaa584. Epub 2021 Jan 25.

Department of General, Visceral, Endocrine, and Transplant Surgery, Kantonsspital St. Gallen, St. Gallen, Switzerland.

In our institution single-port diagnostic laparoscopy is the routine procedure for patients with acute abdominal emergencies. Here, we present a case of intestinal obstruction due to a torqued Meckel diverticulum successfully managed through a single-port incision. Read More

Cureus 2020 Dec 29;12(12):e12354. Epub 2020 Dec 29.

Surgical Department, Odense University Hospital, Odense, DNK.

Introduction Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract. The majority of cases are asymptomatic and in cases with complications, the diagnosis may be a challenge and the surgical approach is not obvious. The primary aim of the present study was to evaluate the diagnostic process and surgical approach in relation to clinical presentation. Read More

Gan To Kagaku Ryoho 2020 Dec;47(13):2332-2334

Division of Surgery, Chiba Aoba Municipal Hospital.

A 47-year-old woman visited a neighboring hospital because of lower abdominal pain and high fever. She was diagnosed with acute pyelonephritis and administered(oral)antibiotics. However, there was no sign of improvement. Read More

Pan Afr Med J 2020 22;37:175. Epub 2020 Oct 22.

Department of Digestive Surgery, Hospital Center Vichy, Vichy, France.

Meckel's diverticulum (MD) is the most common congenital malformation of the gastrointestinal tract. It rarely presents in adults and is usually asymptomatic. Attention to clinical history, examination and imaging studies are crucial for a successful diagnosis. Read More

Pan Afr Med J 2020 15;37:164. Epub 2020 Oct 15.

Service Universitaire des Urgences et de Réanimation Médicale, Hôpital Régional de Zaghouan, Faculté de Médecine de Tunis, Tunis, Tunisie.

Int J Surg Case Rep 2021 Feb 24;79:24-27. Epub 2020 Dec 24.

Department of Gastroenterological Surgery, Fukuoka University School of Medicine, 7-45-1, Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.

Introduction: Reduced port laparoscopic surgery using an umbilical zigzag incision is comparable to conventional multiport laparoscopic surgery. This method is associated with improved cosmesis and decreased wound pain.

Presentation Of Case: A 67-year-old man visited our hospital. Read More

J Pediatr Surg 2020 Dec 26. Epub 2020 Dec 26.

Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, University of Utah School of Medicine, 81 N. Mario Capecchi Drive, Salt Lake City, UT 84113, USA.

Background/purpose: Meckel diverticulum (MD) is present in 2% of the population. Many practitioner feel the diagnosis relies upon technetium-99 m pertechnetate scintigraphy. When negative, patients undergo additional invasive procedures delaying definitive therapy. Read More

Am J Kidney Dis 2021 Jan 6. Epub 2021 Jan 6.

Department of Medicine, Nephrology, University Hospital Freiburg, Germany; Medizinische Genetik Mainz, Limbach Genetics, Mainz, Germany.

Renal cystic disease encompasses a large variety of illnesses with various phenotypic expressions that can manifest in utero, in infancy, and in childhood. These diseases may be unilateral or bilateral and present with single or multiple cysts. Various cystic diseases may also progress to chronic kidney disease (CKD), including kidney failure, and hepatic disease, thus potentially being life threatening. Read More

J Laparoendosc Adv Surg Tech A 2021 Mar 31;31(3):348-354. Epub 2020 Dec 31.

Department of Pediatric Surgery, University of Leipzig, Leipzig, Germany.

Assessment of current role and future trends of Single-Incision-Pediatric-Endoscopic-Surgery (SIPES) in pediatric surgery among International Pediatric Endosurgery Group (IPEG) members two decades after introduction. An online survey was conducted between December 2019 and April 2020 on behalf of the IPEG Research Committee. All IPEG members were contacted by e-mail and asked to complete an anonymous questionnaire that included 39 items on SIPES. Read More

Radiol Case Rep 2021 Feb 11;16(2):400-403. Epub 2020 Dec 11.

Department of Radio diagnosis; D.Y.Patil Medical College, Eureka Diagnostic Centre; Kolhapur, Maharashtra, India.

Meckel's diverticulum is the most common congenital anomaly of gastrointestinal tract, which results from incomplete involution of the proximal part of the vitelline duct during weeks 5-7 of fetal development. Giant Meckel's diverticulum more than 5 cm in length is relatively rare and may be associated with small bowel obstruction. Here we report Giant Meckel's diverticulum in 11 year old male who presented with the symptoms of acute abdomen with intermittent subacute small bowel obstruction. Read More

Ann Emerg Med 2021 01;77(1):e58-e59

Pediatric Surgery, Institute for Maternal and Child Health, IRCCS "Burlo Garofolo," Trieste, Italy.

BMJ Case Rep 2020 Dec 9;13(12). Epub 2020 Dec 9.

Department of Pediatrics, Bharati Vidyapeeth Deemed University Medical College, Pune, Maharashtra, India.

Intussusception in children is mainly idiopathic or due to a viral aetiology. Occasionally, pathological lead points like Meckel diverticulum or rarely metabolic causes like hyperglycaemia can result in formation of an intussusception. We describe the case of a boy with diabetic ketoacidosis presenting with abdominal pain. Read More

J Clin Ultrasound 2020 Dec 1. Epub 2020 Dec 1.

Second Department of Surgery, Wakayama Medical University, Wakayama, Japan.

We report a rare case of spontaneous regression of omphalomesenteric remnant after birth. Unlike previously reported cases, no surgery was required. The omphalomesenteric duct sometimes persists at birth. Read More

European J Pediatr Surg Rep 2020 Jan 23;8(1):e59-e61. Epub 2020 Nov 23.

Department of Pediatric Surgery and Urology, Robert-Debré University Hospital, Assistance-Publique Hôpitaux de Paris, Paris, France.

Meckel's diverticulum (MD) is the most common congenital abnormality of the gastrointestinal tract. Intestinal occlusion due to MD is a commonly observed consequence of intussusception or volvulus. Here, we report a case of an 11-year-old boy who presented to the emergency department with acute abdominal pain, bilious vomiting, and abdominal rebound tenderness. Read More