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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

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

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

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

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

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

Br J Surg 2020 12;107(13):1825

J Surg Case Rep 2020 Oct 28;2020(10):rjaa428. Epub 2020 Oct 28.

Department of Pediatric Surgery, Saku Central Hospital Advanced Care Center, Nagano, Japan.

We report our experience with two patients who underwent omphalomesenteric duct resection: one for a patent omphalomesenteric duct and the other for a Meckel diverticulum connected to the umbilicus by a fibrous cord. We used an intraumbilical round incision and a transumbilical vertical incision, respectively. The first patient was a neonate with a patent omphalomesenteric duct who appeared to have a small stoma after ligature of the umbilical cord. Read More

Medicine (Baltimore) 2020 Oct;99(43):e22864

Gastroenterology Department/Endoscopy Center.

Video capsule endoscopy (VCE) can detect mucosal lesions in the intestine, especially in the small bowel.Our study aims to evaluate the applications of VCE for pediatric gastrointestinal diseases.In this retrospective study, we included all patients who underwent VCE between December 2012 and December 2018. Read More

J Family Med Prim Care 2020 Aug 25;9(8):4409-4411. Epub 2020 Aug 25.

Department of General Surgery, NEIGRIHMS, Shillong, Meghalaya, India.

Reporting herewith 2 cases of Meckel's diverticulum presenting with acute intestinal obstruction. The patients were managed surgically. The cases were presented in emergency department and management were based on clinical and imaging after a initial resuscitation. Read More

Urol Case Rep 2020 Nov 16;33:101306. Epub 2020 Jun 16.

The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Meckel's diverticulum is the most common congenital malformation of the gastrointestinal tract. In this report, we present a patient with a Meckel's diverticulum that was incidentally discovered on prostate-specific membrane antigen positron emission tomography/computed tomography (PSMA PET/CT) imaging performed for prostate cancer staging. We discuss hypotheses for why the Meckel's diverticulum showed high uptake of PSMA-targeted radiotracer and the clinical implications of this finding. Read More

Case Rep Surg 2020 19;2020:8887603. Epub 2020 Sep 19.

Department of Acute Care Surgery, Hamad Medical Corporation, Doha, Qatar.

Perforation of small bowel due to ingested fish bone is rare, the most common site is ileum and occasionally, it can involve the appendix and/or Meckel diverticulum. We report six patients who, developed bowel perforation after fish bone ingestion, four of them found to have rent in the ileum and two through Meckel's diverticulum and presented with abdominal pain and localized peritonitis. All underwent surgical exploration and removal of the fish bone and closure of the small intestine/excision of the diverticulum. Read More

JAAPA 2020 Oct;33(10):30-32

Brian K. Yorkgitis is an assistant professor of surgery in the Division of Acute Care Surgery at the University of Florida College of Medicine-Jacksonville. Kalli Devecki is a general surgery resident in the Division of Acute Care Surgery at the University of Florida College of Medicine-Jacksonville. The authors have disclosed no potential conflicts of interest, financial or otherwise.

The most common causes of small bowel obstruction are hernias and adhesive disease. Other causes include malignancy, inflammation, infection, and Meckel diverticulum with an omphalomesenteric ligament. This article describes a patient who presented to the ED with abdominal pain, nausea, and vomiting. Read More

J Int Med Res 2020 Sep;48(9):300060520955055

Department of Nuclear Medicine, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, P.R. China.

Meckel's diverticulum (MD) is a relatively common true congenital diverticulum on the ileum. Bleeding caused by polypoid hyperplasia of ectopic gastric mucosa in MD is rare. A 14-year-old Chinese boy presented with intermittent melena and haematochezia for 1 month. Read More

ANZ J Surg 2021 05 15;91(5):1022-1024. Epub 2020 Sep 15.

Department of Surgery, Frankston Hospital, Melbourne, Victoria, Australia.

BMJ Case Rep 2020 Sep 8;13(9). Epub 2020 Sep 8.

Minimal Invasive, GI and Bariatric Surgery, Metro Heart Institute with Multispeciality, Faridabad, Haryana, India

A 10-year-old boy presented with a low volume feculent umbilical discharge associated with fever and anorexia. Exploratory laparotomy revealed a complex fistula communicating with multiple small bowel loops and extensive peritoneal nodules with caseous mesenteric lymph nodes; suggestive of abdominal tuberculosis. Fistulectomy, adhesiolysis and a diversion jejunostomy were done and antituberculosis therapy was started. Read More

J Nucl Med Technol 2020 Sep;48(3):210-213

: For CE credit, you can access the test for this article, as well as additional JNMT CE tests, online at https://www.snmmilearningcenter.org Complete the test online no later than September 2023. Read More

ANZ J Surg 2020 10 30;90(10):2108-2110. Epub 2020 Aug 30.

Epworth Hospital, Melbourne, Victoria, Australia.

J Gastrointest Surg 2020 09 24;24(9):2176-2177. Epub 2020 Jul 24.

Department of Surgery and Liver Transplant Institute, Faculty of Medicine, Inonu University, Elazig Yolu 10. Km, 244280, Malatya, Turkey.

Clin Nucl Med 2020 Sep;45(9):735-737

From the Division of Nuclear Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA.

An 18-year-old woman presented to the emergency department for bloody stools. A CT scan of the abdomen ruled out intussusception. Meckel's scan was ordered to rule for Meckel's diverticulum before upper endoscopy and colonoscopy. Read More

ANZ J Surg 2020 07 5;90(7-8):1454-1458. Epub 2020 Jul 5.

Department of General Surgery, Cattinara Hospital, Trieste, Italy.

Background: Small bowel diverticula are a rare condition occurring mainly in the elderly. They can be isolated or multiple and can involve the duodenum, jejunum and ileum. Acute complications are extremely rare, with an aspecific pattern of symptoms. Read More

Pediatr Int 2020 07 23;62(7):874-875. Epub 2020 Jun 23.

Department of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan.