- Meckel’s Diverticulum
- Persistence of the omphalomesenteric (vitelline) duct (MCQ)
- omphalomesenteric (vitelline) duct should disappear by seventh week of gestation(MCQ)
- Arises from the antimesenteric border of ileum (MCQ)
- Contains heterotopic epithelium (gastric, colonic, or pancreatic) (MCQ)
- A true diverticulum in that it contains all layers of bowel wall(MCQ)
- Signs and symptoms
- Usually in first 2 years:
- Intermittent painless rectal bleeding (MCQ)
- Intestinal obstruction
- Usually in first 2 years:
- Meckel’s scan (scintigraphy) has 85% sensitivity and 95% specificity. (MCQ)
- Uptake can be enhanced with cimetidine, glucagon, or gastrin.
- Surgical: Diverticular resection with transverse closure of the enterotomy. (MCQ)
- Clinical Pearls :
- Meckel’s diverticulum is the most frequent congenital GI abnormality. (MCQ)
- Meckel’s diverticulum: (MCQ)
- 2% of population
- 2 inches long
- 2 feet from the ileocecal valve
- Patient is usually under 2 years of age
- 2% are symptomatic
- Meckel’s diverticulum may mimic acute appendicitis and also act as lead point for intussusception.
- If a Meckel’s diverticulum is found within a hernia sac, it is called a Littre’s hernia. (MCQ)
Meckel’s Diverticulum: Segmental Small Bowel Resection Using Single Port Access
SAGES 2011 Bonus Video: Primary Author
Meckel’s Diverticulum Surgery
Laparoscopic Assisted Resection of an Intussuscepted Meckel’s Diverticulum
This video demonstrates a Laparoscopic Assisted Resection of an Intussuscepted Meckel’s Diverticulum. It describes the clinical anatomy, significance, and diagnostic features of a Meckel’s.
Meckel’s Diverticulum and Jejunal Diverticulum
Abstract: The most common congenital anomaly of the gastrointestinal tract is Meckel’s diverticulum, occurring in 2–3% of the general population. Bleeding is the most common complication of Meckel’s diverticulum. Here the author demonstrates the case of a 31-year-old patient with acute hematochezia. Meckel’s diverticulum was diagnosed by double-balloon enteroscopy. This article is part of an expert video encyclopedia.
The PillCam Detection of Meckel’s Diverticulum
Abstract: Meckel’s diverticulum (MD) is an uncommon cause of obscure gastrointestinal (GI) bleeding in adults, and its preoperative diagnosis is not the rule, the current radionuclide and radiologic diagnostic modalities being rather inaccurate. The advent of capsule endoscopy and device-assisted enteroscopy now allows for early detection of bleeding MD, provided they are performed in the setting of ongoing bleeding.
This report presents a short capsule endoscopy video involving an young man with obscure-overt GI bleeding and typical appearance of MD, confirmed at surgery afterwards. This article is part of an expert video encyclopedia.
Rare Presentation of Meckel’s diverticulum -dr.t.varun raju.wmv
Meckel’s diverticulum with ile-cecal intussusception is seen rarely in adult population.Rule of two.Seen in 2% population.2 feet from the ileo cecal junction,2 inches in long.Interesting case.Kindly subscribe my channel.Occlusion sur Meckel (Complicated Meckel’s diverticulum)
Occlusion de l’intestin grêle sur diverticule de Meckel, traitement coelioscopique.
Small bowel obstruction caused by inflamed Meckel’s diverticulum, laparoscopic treatment.
33. Exploratory Laparotomy, Meckel’s Diverticulum – Operative Surgery – Dr. Vaidya
Meckel’s Diverticulum – LAPAROSCOPIC REMOVAL Technique.wmv
Meckel’s Diverticulum is a vestigeal remnant of vitellointestinal duct.
Its a true diverticulum as it contains all three layers of intestine. It is usually presents at anti mesenteric burder. Usually 2 cm (range 1- 12 cm ) in length, found in 2 % of population , and situated around 2 feet of Ileaocecal junction. 50 % cases it contains gastric mucosa , but may also contain colonic, duodenal or pancreatic mucosa .male : female ration in symptomatic cases is 3 : 1.
It may mimic acute appendicitis, so in cases where one is going for surgery for appendicitis , must search for meckel’s diverticulum……..