Search Our Scientific Publications & Authors

Cureus 2019 Feb 5;11(2):e4020. Epub 2019 Feb 5.

Radiology, University Hospital Galway, Galway, IRL.

Perforated Meckel's diverticulum (MD) is a rare cause of acute abdomen in adults. We describe the case of a 32-year-old man presenting with worsening abdominal pain three weeks following the piercing of his umbilicus. Computed tomography of the abdomen and pelvis demonstrated a small mesenteric collection intimately related to the recently placed navel ornamentation, and a preliminary diagnosis of intra-abdominal abscess secondary to an infected umbilical piercing was made. Read More

Radiologia 2019 Apr 8. Epub 2019 Apr 8.

Departamento de Radiología, Hospital Universitari Vall d'Hebron, Barcelona, España.

Objective: To review the embryology, the clinical findings and the appearance in multidetector computed tomography (MDCT) of complicated Meckel's diverticulum (DM) in adults.

Conclusion: The presence of an MD in a MDCT should be suspected when a blind tubular structure connected to the terminal ileum by a neck of variable size is observed. Multiplanar 2D reconstructions images and CT enterography can help in the diagnosis. Read More

Rev Gastroenterol Peru 2018 Oct-Dec;38(4):365-369

Clínica Javier Prado. Lima, Perú.

Meckel's diverticulum is a rare clinical entity in clinical practice. However, it should be considered as an important differential diagnosis in patients with both obscure overt and occult gastrointestinal bleeding. Years ago, the evaluation of the small bowel was impossible without surgery, nowadays the development of new diagnostic methods has changed this horizon. Read More

Cir Esp 2019 Mar 7. Epub 2019 Mar 7.

Servicio de Coloproctología, Hospital Juan Ramón Jiménez, Huelva, España.

Cureus 2018 Dec 19;10(12):e3753. Epub 2018 Dec 19.

Surgery, The Queen Elizabeth Hospital, Adelaide, AUS.

Meckel's Diverticulum is one of the most common congenital anomalies of the gastrointestinal tract. However, its presentation as a complicated Giant Meckel's Diverticulum in an adult is rare. We present a case of a perforated Giant Meckel's mimicking ischemia of the right colon. Read More

J Am Acad Dermatol 2019 Feb 21. Epub 2019 Feb 21.

Laser Unit, Department of Dermatology, Rabin Medical Center, Petach-Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Background: Disorders of the umbilicus are commonly seen in infancy including: hernias, infections, anomalies, granulomas and malignancies. Meticulous inspection of the umbilicus at birth may reveal a persisting embryonic remnant such as omphalomesenteric duct (OMD), manifested by a variety of cutaneous signs such as: an umbilical mass, granulation tissue or discharge.

Objective: To systematically review the available data regarding the presence and management of OMD remnant with cutaneous involvement, in order to suggest a practical approach for diagnosis and treatment. 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

Clin Nucl Med 2019 May;44(5):417-419

Department of Radiology, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.

Positive gastric mucosa Meckel diverticulum generally shows nonmoving activity in the right abdomen, which appears early in the study at about the same time of the appearance of the stomach. However, a stoma from ileostomy can result in similar findings on dynamic images. The difference between a true Meckel diverticulum and stoma can be exposed by lateral views. Read More

Cir Esp 2019 Jan 21. Epub 2019 Jan 21.

Servicio de Cirugía General, del Aparato Digestivo y Trasplante de Órganos Abdominales, Hospital Universitario Doce de Octubre, Madrid, España.

Pediatr Gastroenterol Hepatol Nutr 2019 Jan 10;22(1):98-104. Epub 2019 Jan 10.

Department of Pediatrics, Jeju National University School of Medicine, Jeju, Korea.

We report a rare case of Meckel's diverticulum in a boy who initially presented with chronic iron deficiency anemia (IDA) without any history of gastrointestinal (GI) bleeding at 8 years-old. Isolated small bowel Crohn's disease was suspected based on findings of small bowel ulcers on capsule endoscopy. At four years from initial presentation, he developed massive GI bleeding. 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

Case Rep Gastroenterol 2018 Sep-Dec;12(3):709-714. Epub 2018 Nov 28.

Department of Medicine, BronxCare Hospital Center, Bronx, New York, USA.

A 42-year-old man presented to the emergency room with complaints of periumbilical abdominal pain. A contrast-enhanced computed tomography revealed mucosal thickening in the small bowel of the right abdomen. There was a fairly large small bowel diverticulum associated with this segment. Read More

J Minim Access Surg 2019 Jan 4. Epub 2019 Jan 4.

Department of General Surgery, Queen Elizabeth Hospital, Lewisham and Greenwich NHS Trust, London, England.

A Meckel's diverticulum (MD) is a congenital abnormality of the gastrointestinal tract which is estimated to be present in 2% of the population. Gastrointestinal stromal tumours (GISTs) are rare, soft-tissue tumours which represent 0.1%-3% of all gastrointestinal tumours. Read More

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

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

Arq Bras Cir Dig 2018 Dec 6;31(4):e1409. Epub 2018 Dec 6.

Centro Hospitalar de São João, Gastroenterologia, Porto, Portugal.

J Comput Assist Tomogr 2019 Mar/Apr;43(2):220-227

Department of Radiology, Suzhou Hospital, Nanjing Medical University, Suzhou.

Objective: The aim of this study was to evaluate the computed tomography enterography (CTE) characteristics of bleeding Meckel diverticulum.

Methods: The CTE images of 35 patients with Meckel diverticulum and gastrointestinal bleeding were retrospectively evaluated.

Results: Meckel diverticulum was visualized in 33 of 35 patients and located in the right lower abdomen (20/33), midline lower abdomen (8/33), left lower abdomen (3/33), or paramedially near the umbilicus (2/33). Read More

Am J Case Rep 2018 Nov 29;19:1422-1424. Epub 2018 Nov 29.

3rd Department of Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece.

BACKGROUND Amyand's and Littre's hernias are 2 rare types of inguinal hernias, which constitute less than 1% of all types of hernias. Amyand's hernia is characterized mainly by the presence of a vermiform appendix in an inguinal hernia sac, whereas Littre's hernia includes a protrusion of a Meckel's diverticulum into the hernial sac. CASE REPORT In this article, we report a case of co-existence of Amyand's and Littre's hernia in the same sac of a groin hernia. Read More

Turk J Gastroenterol 2019 01;30(1):101-104

Department of Pediatric Surgery, Fırat University School of Medicine, Elazığ, Turkey.

Background/aims: Littre hernia (LH) is difficult to distinguish from other hernias until complications arise. In this research, we present the details of diagnosis, treatment, and frequency of LH cases with differentiated clinical properties.

Materials And Methods: Littre hernia prevalence, clinical properties, and treatment details of cases diagnosed as incarceration/strangulation (I/S) of hernias between December 1996 and December 2017 were retrospectively investigated. Read More

Rozhl Chir Summer 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

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

Front Surg 2018 3;5:55. Epub 2018 Sep 3.

Department of General Surgery, General Hospital of Drama, Drama, Greece.

Since Meckel's diverticulum (MD) is rarely diagnosed in adults, there is no consensus on what type of procedure to be performed for symptomatic MD and whether to resect or not an accidentally discovered MD. Treatment of symptomatic MD is definitive surgery, including diverticulectomy, wedge, and segmental resection. The type of procedure depends on: (a) the integrity of diverticulum base and adjacent ileum; (b) the presence and location of ectopic tissue within MD. 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

Cureus 2018 Jun 22;10(6):e2865. Epub 2018 Jun 22.

Gastroenterology, Creighton University, Omaha, USA.

According to anecdotal reports in literature, encountering Meckel's diverticulum in a patient with Crohn's disease is not uncommon, but differentiating between the overlapping complications of Mickel's diverticulum and the natural manifestations of Crohn's disease can be challenging and may impact lifelong therapy. In this report, we present a case of Meckel's diverticulitis in a patient with stricturing ileocolonic Crohn's disease. A 29-year-old male has been suffering from recurrent bouts of abdominal pain and diarrhea which were initially thought to be due to recurrent flares of Crohn's disease. 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 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

Diagn Interv Imaging 2018 Nov 14;99(11):769-771. Epub 2018 Jun 14.

Department of Radiology, Centre Hospitalier Universitaire, Pôle d'imagerie, 47, rue Cognacq-Jay, 51092 Reims cedex, France.

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 Gastrointest Surg 2019 Mar 29;23(3):603-604. Epub 2018 May 29.

Colorectal Unit, Department of Surgery, Grenoble Alps University Hospital, 38000, Grenoble, France.

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

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

N Z Med J 2018 May 4;131(1474):74-76. Epub 2018 May 4.

General Surgery Consultant, Department of General Surgery, Christchurch Public Hospital, Christchurch.

We report a case of a patient presenting with small bowel obstruction secondary to an enteric ileal duplication cyst. Although common in infancy, they are rarely seen in adults. Radiologically they may be difficult to distinguish from a Meckel diverticulum and often the diagnosis is made retrospectively. 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 2019 Mar 15;54(3):507-510. Epub 2018 Mar 15.

Department of Surgery, Duke University Medical Center, Durham, NC, USA. Electronic address:

Purpose: Meckel's diverticulum (MD) is a common congenital anomaly caused by failure of involution of the omphalomesenteric duct. Enthusiasm for minimally invasive surgery (MIS) in children has burgeoned as technologies have advanced, but the outcomes of laparoscopic resection in comparison to open laparotomy for MD remain poorly defined. We queried a large national database to compare current practice patterns and clinical outcomes between surgical approaches for MD in the pediatric population. Read More

Am Surg 2018 Jan;84(1):33-35