Meckel's diverticulum in Nicaraguan adults. Report of two cases and review of the literature
DOI:
https://doi.org/10.5377/rtu.v13i38.19125Keywords:
Case report, meckel’s diverticulum, surgical intervention, SCARE guideAbstract
Introduction: The cases described discuss the prevalence of this clinical entity simulating an acute surgical abdomen in adult men and compares the approach to symptomatic and asymptomatic Meckel’s diverticulum.
Methods: This case report was reported using the international guidelines that guide the aspects of writing and publishing a surgical case report, mentioned in the SCARE guide (Surgical CAse REport, 2020).
Case presentation: Male patients aged 31 (case 1) and 19 years (case 2) respectively, who attended the unit with acute surgical abdomen in whom Meckel’s diverticulum was diagnosed incidentally (case 1) concomitant with acute and symptomatic appendicitis. (Case 2) complicated by inflammation, a location was observed on the antimesenteric side of the ileum, approximately 80 cm from the ileocecal valve, with a length that ranged from 2 (case 1) to 10 mm (case 2). Diverticulectomy was performed, using the wedge reception technique with primary anastomosis (case 1) and intestinal reception with approximately a 5cm margin of the diverticulum with end-to-end anastomosis in two planes (case 2), the approach was successful in both patients.
Conclusion: The diagnosis of complicated Meckel’s diverticulum in adults is difficult because the clinical characteristics in patients with complications are non-specific and are not clinically distinguishable from appendicitis. Exploratory laparotomy seems to be an ideal surgical approach in cases of acute surgical abdomen. with uncertain diagnosis.
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References
Agha, Riaz A et al. “The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.” International journal of surgery (London, England) vol. 84 (2020): 226-230. https://www.scareguideline.com/
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Hansen, C. C., & Søreide, K. (2018). Systematic review of epidemiology, presentation, and management of Meckel's diverticulum in the 21st century. Medicine, 97(35), e12154. https://doi.org/10.1097/MD.000000000001215
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Parvanescu, A., Bruzzi, M., Voron, T., Tilly, C., Zinzindohoué, F., Chevallier, J. M., Gucci, M., Wind, P., Berger, A., & Douard, R. (2018). Complicated Meckel's diverticulum: Presentation modes in adults. Medicine, 97(38), e12457. https://doi.org/10.1097/MD.0000000000012457
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