98%
921
2 minutes
20
A man in his twenties had intermittent abdominal pain in the right lower quadrant for more than 4 years. The abdominal pain persisted after a meal, and he visited our hospital emergency department. We performed an emergency colonoscopy and found a 3-cm mobile polypoid lesion located on the antimesenteric side of the ileum 40 cm from the ileocecal valve and was 85×26×23 mm in size. On the basis of characteristic ultrasound and contrast-enhanced CT findings, our preoperative diagnosis was intussusception due to Meckel's diverticulum translation and performed a laparoscopic ileocecal resection. The pathological diagnosis was Meckel's diverticulum translation with ectopic pancreatic and gastric tissue. Furthermore, we aggregated the cases of adult intussusception due to Meckel's diverticulum translation reported in Japan, and investigated preoperative diagnoses and treatment plans.
Download full-text PDF |
Source |
---|
Pediatr Surg Int
September 2025
Department of Surgery, Faculty of Medicine, Chulalongkorn University & King Chulalongkorn Memorial Hospital, Bangkok, 10330, Thailand.
Purpose: The objectives were to describe and to compare the clinical features of patients with MD in terms of demographic data, clinical presentation, investigations, treatment, histopathology, and postoperative complications between children and adults.
Methods: Patients with MD were retrospectively reviewed from two tertiary hospitals (2002-2021). These included patients with symptomatic MD and patients whose MD was incidentally found during operations.
Ann Med Surg (Lond)
September 2025
General Surgery, Wad Medani College of Medical Sciences & Technology, Wad Madani, Sudan.
Introduction And Importance: Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract, typically asymptomatic but occasionally presenting with complications such as bleeding, obstruction, or rarely, perforation. Symptomatic MD is unusual in the elderly, often mimicking other acute abdominal conditions and posing diagnostic challenges, especially in low-resource settings.
Case Presentation: We report a case of a 64-year-old male presenting with a 2-day history of right iliac fossa pain, fever, nausea, and vomiting.
Urol Case Rep
September 2025
Dept of Paediatric Surgery, Indira Gandhi Institute of Child Health, Bangalore, Karnataka, India.
Anorectal malformations (ARM)being the common congenital anomalies occurring in 1 in 4000-5000 newborns. Associated recto urethral fistula being the most common in males and recto vestibular fistula being the common in females. Hence ARMs require staged surgical procedures.
View Article and Find Full Text PDFJ Clin Ultrasound
August 2025
Department of Radiology, Saitama Children's Medical Center, Saitama, Japan.
Purpose: To evaluate the diagnostic performance of ultrasound in detecting Meckel's diverticulum (MD) and duplication cysts (DC) and to identify factors influencing diagnostic accuracy.
Methods: Among 66 patients with MD or DCs, we assessed the effect of symptom presence, atypical complications (hemoperitoneum, perforation, or acute pancreatitis), and lesion shape (tubular or cystic) on initial sonographic diagnostic accuracy using Fisher's exact test.
Results: Initial ultrasound correctly diagnosed 49.
Int J Surg Case Rep
August 2025
Muhimbili University of Health and Allied Science (MUHAS), P.O. Box 65001, Dar es salaam, Tanzania; Department of Pediatric Surgery, Muhimbili National Hospital (MNH), P.O. Box 65000, Dar es salaam, Tanzania.
Background: Meckel's diverticulum (MD), a congenital anomaly of the gastrointestinal tract, affects approximately 2 % of the population, but complications occur in only 4-6 % of cases. Symptomatic MD is typically seen in children, with adult presentations being rare and often incidental. Umbilical complications related to persistent vitelline duct remnants are extremely uncommon in adults.
View Article and Find Full Text PDF