Diagnosis and Treatment Meckel’s Diverticulitis

Meckel's diverticulitis

Authors

  • ดำรงรักษ์ ชูไพฑูรย์ องค์กรแพทย์ โรงพยาบาลปราณบุรี

Keywords:

case report, Meckel’s diverticulitis, pranburi rural hospital

Abstract

                    A case report of 28-year-old Thai male patient with general abdominal pain  10 hours before coming to the hospital. He had a history of drinking alcohol regularly. The first diagnosis was given as suspected peritonitis from ruptured appendicitis and therefore performed surgery. From the surgery, normal appendix, however he had a diverticulum at ileum, 9 cm in length,    3 cm width, and located 2 feet away from the ileocecal valve. Pathological examination found that acute hemorrhagic diverticulitis, admit patients for 8 days. He was discharged from Pranburi Hospital without complications after surgery.

                    In rural hospitals that can perform appendectomy, you should always think of this disease. Because it can be found in appendicitis because of the similar clinical features. In addition, doctors who perform surgery should have the ability to sew, repair the intestine and can resect the intestine. To be able to treat patients with meckel’s diverticulitis in this manner.

References

1 John J. Park, Bruce G. Wolff, Matthew K. Tollefson, Erin E. Walsh, Dirk R. Larson. Meckel Diverticulum The Mayo Clinic Experience With 1476 Patients (1950–2002). Annals of Surgery. 2005; 241:529-533

2 Haber JJ. Meckel’s diverticulum: review of literature and analytical study of 23 cases with particular emphasis on bowel obstruction. Am J Surg. 1947; 73:468–485

3 Sagar J, Kumar V, Shah DK. Meckel’s diverticulum: a systematic review. J R Soc Med. 2006; 99:501-5

4 F. Morelli, T. Tha-In, B. Veldt. A young man with intermittent abdominal pain and anemia: a peculiar finding. Netherland the journal of medicine. 2014; 72:430-434

5 Xiao-kun Lin et.al. clinical characteristic of Meckel diverticulum in children.Medicine.2017:1-3

6 Kahn E, Daum F. Anatomy, histology, embryology, and developmental anomalies of the small and large intestine. In: Sleisenger MH, Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's gastrointestinal and liver disease: pathophysiology, diagnosis, management. 9th ed. Philadelphia: Saunders Elsevier, 2010:1615-42

7 Thirunavukarasu P, Sathaiah M, Sukumar S, et al. Meckel’s diverticulum--a high-risk region for malignancy in the ileum. Insights from a population based epidemiological study and implications in surgical management. Ann Surg. 2011; 253:223-30

8 Lowenfels AB, Maisonneuve P. Risk of cancer in Meckel’s diverticulum. Ann Surg. 2011;254:1079-80

9 Platon A, Gervaz P, Becker CD, Morel P, Poletti PA. Computed tomography of complicated Meckel’s diverticulum in adults: a pictorial review. Insights Imaging. 2010; 1(2):53–61

10 สมพงษ์ หาญณรงค์ชัย. รายงานผู้ป่วย Meckel’s diverticulitis ในโรงพยาบาลชุมชน. วารสารหัวหินสุขใจไกลกังวล. 2559; 2 : 60-65.

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Published

2019-04-18

How to Cite

ชูไพฑูรย์ ด. (2019). Diagnosis and Treatment Meckel’s Diverticulitis: Meckel’s diverticulitis. Hua Hin Medical Journal, 4(1), e0050. retrieved from https://he01.tci-thaijo.org/index.php/hhsk/article/view/case%20report

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Original article