In patient number 5 figuras 4ad, with acute abdominal pain syndrome, the appendix proved to be normal and meckels diverticulum was identified with peritonitis. Meckels diverticulum is the most common congenital abnormality of the small intestine that results from incomplete closure of the vitelline omphalomesenteric duct. A meckel diverticulum is a vestigial remnant of the omphalomesenteric vitellointestinal duct. Meckel s diverticulum md is common congenital abnormality of gastrointestinal tract, only about 6. Most 75% meckel diverticula are found within 60 cm range 40100 cm of the ileocecal valve 2. Generally, a meckel diverticulum ranges from 1 to 12 cm in length and is found 4590 cm proximal to the ileocecal valve. In this study, a small amount of a harmless radioactive substance is given by vein intravenously. Meckels diverticulum is an abnormality in the small intestine that is present at birth. The physical examination showed the abdomen was soft, with the diffuse tenderness to palpation and voluntary guarding dobbins w, kawanishi h. Meckels diverticulum was named after johann friedrich meckel, who described its anatomy and embryology in 1809. Scribd is the worlds largest social reading and publishing site. It is the most common congenital anomaly of the gastrointestinal tract and occurs in 1 to 3 % of the population 2.
The topic diverticulum of meckel you are seeking is a synonym, or alternative name, or is closely related to the medical condition meckels diverticulum. All structured data from the file and property namespaces is available under the creative commons cc0 license. Based on a us population of 200 million people and a 2% incidence, there are 4 million meckels diverticula present waiting to cause symptoms. Introduction t he etiology for the majority of small bowel obstruction. Meckel diverticulum terjadi di perbatasan antimesenteric dari, biasanya 4060 cm ileum proksimal ke katup ileocecal. It is generally about 2 inches long and located 2 feet proximal to the ileocecal valve. Meckels diverticulum is the most common congenital malformation of gastrointestinal tract. The meckels diverticulum md is the commonest congenital abnormality of the gastrointestinal tract. Meckels diverticulum is the most common congenital anomaly of the gastrointestinal tract.
Meckels diverticulum is a true diverticulum, meaning it possesses all three layers of the intestinal wall and has its own blood supply from the superior mesenteric artery sma. Meckels diverticulum md is the most common congenital anomaly of the gastrointestinal tract. Meckel diverticulum knowledge for medical students and. The rule of 2s is a useful mnemonic for the features of meckel diverticulum, although the figures do have a broad range. The trouble with investigating anaemia in young adults.
Meckel, a german anatomist who first described the structure. It may generally remain silent and asymptomatic but life threatening. Meckel s diverticulum is an abnormal pouch in the intestine thats present from birth. We included consecutive children who were highly suspected of md between 2012 and 20.
Meckels diverticulum is a sac on the wall of the bottom part of the intestine that is present at birth congenital condition. Meckels diverticulum occurs in approximately 1%3% of the population with a maletofemale ratio of 2. How boston children s hospital approaches meckels diverticulum scans. Meckel s diverticulum is an outpouching or bulge in the lower part of the small intestine. It has an ileal mucosa, but heterotopic mucosa can be found, and then 8085 % of the ectopic tissue is gastric mucosa, sometimes associated with pancreatic tissue. A meckel diverticulum is tissue left over from when the babys digestive tract was forming before birth. It can cause complications in the form of ulceration, haemorrhage, intussusception, intestinal obstruction, perforation and, very rarely, vesicodiverticular fistulae and tumours. Most prevalent congenital abnormality of gi tract, in 2% of normal population usually asymptomatic but also abdominal pain of unknown etiology rev esp enferm dig 2011. Age and sex distribution meckels diverticulum is seen to affect 2% of the world population. Meckels diverticulum is a congenital present at birth outpouching or bulge in the lower part of the small intestine. The meckel s diverticulum is a true diverticulum of the small intestine 1. The purpose of this study was to evaluate the diagnostic value and safety of doubleballoon enteroscopy dbe for bleeding md in children. Although originally described by fabricius hildanus in 1598, it is named after johann friedrich meckel, who established. Some sort of and iron replacement may be needed to correct anemia, so keep the patient on a high fiber diet.
It is a true diverticulum having all the layers of the intestinal wall. Meckels diverticulum is a congenital condition that may manifest at birth or during adulthood. It can be as long as 5 cm with diameters up to 2 cm. Baixe no formato pdf, txt ou leia online no scribd. If it causes symptoms, meckels diverticulum can be repaired with surgery. Description the diverticulum is most easily described as a blind. Meckel diverticulum also referred to as meckels diverticulum is the most common congenital abnormality of the small intestine. Meckels diverticulum is a remnant of the omphalomesenteric or vitelline duct, which connects the yolk sac to the midgut through the umbilical cord. A meckel diverticulum is the most common congenital anomaly of the gastrointestinal tract and is caused by an incomplete obliteration of the omphalomesenteric duct. Intussusception secondary to meckel s diverticulum in a 3monthold girl.
Meckels diverticulum free download as powerpoint presentation. A meckel diverticulum is a pouch on the wall of the lower part of the small intestine that is present at birth congenital. A meckels diverticulum scan is a nuclear medicine test that detects the abnormallylocated gastric mucosa. The purpose of this article is to familiarize the radiologist with the current imaging of meckels diverticulum and its presenting complications. Meckel diverticulum msd manual professional edition. Small bowel obstruction due to meckels diverticulum. Rule of 2s in meckel diverticulum radiology reference. As a congenital anomaly, it is a true diverticulum that includes all three coats of the small intestine. Meckels diverticulum a case study introduction the meckels diverticulum or diverticulum ilei is the most common unusual congenital condition of gastrointestinal tract. Mekanisme yang bertanggung jawab bagi anomaly ini adalah kegagalan duktus omfalomesenterikus vitelinus, yang menghubungkan yolk sac dengan foregut selama kehidupan embrionik dini untuk menjadi terobliterasi lengkap. The mucosal lining of the diverticulum may be either native ileal.
The meckels diverticulum is the commonest congenital anomaly of the gastrointestinal tract. The substance is picked up by cells in the diverticulum, which can then be seen using a radiationsensing camera. The diverticulum may contain tissue similar to that of the stomach or pancreas. Meckel diverticulum, massive gastrointestinal bleeding. Meckel s diverticulum is a congenital present at birth outpouching or bulge in the lower part of the small intestine. Meckel s diverticulum is the most common congenital anomaly of the gastrointestinal tract. Meckels diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract. This anomaly is due to the incomplete obliteration of the omphalomesenteric duct during the 7th. If bleeding is significant, a blood transfusion may be necessary. Meckels diverticulum scan boston childrens hospital. In approximately 2 percent of the population, this remnant remains into adulthood and they have the propensity to. Sedikit lebih dari satu setengah mengandung mukosa ektopik. Definition meckels diverticulum is a congenital pouch diverticulum approximately two inches in length and located at the lower distal end of the small intestine.
Meckels diverticulum is an outpouching or bulge in the lower part of the small intestine. Meckels diverticulum is a cause of significant morbidity and mortality. Sekitar 2% dari penduduk memiliki divertikulum meckel, tetapi hanya beberapa orang mengembangkan gejala. This true diverticulum, 2 ft from the ileocecal valve commonly found on the antimesenteric border of the ileum, is benign and majority asymptomatic. It is caused by incomplete obliteration of the vitelline duct and consists of a congenital sacculation of the antimesenteric border of the ileum. It is seen in 2% of the population, with a male to female ratio of 2. This duct is typically obliterated by the 5th8th week of gestation. Its presentation as a giant meckel s diverticulum 5 cm is rare and is publisher. In a majority of individuals, the condition may not be diagnosed due to the absence of significant signs and symptoms. It is seen in 2% of the general population and is more common in males. Gastric mucosa is the mucous membrane layer of the stomach. Meckels diverticulum information mount sinai new york.
If doctors think bleeding from the rectum is caused by a meckel diverticulum, they do an imaging study called a meckel scan. This duct arises from fetal yolk sack and connects umbilicus with fetal intestine. It is present in fetal life as the vitellointestinal duct, which usually disappears later in seventh week of gestational period. Meckel diverticulum is a true diverticulum and is the most common congenital anomaly of the gi tract, occurring in about 2% of people. Herein, we report the diagnosis and management of a small bowel obstruction occurring due to the mesodiverticular band of a meckels diverticulum. If it causes symptoms, meckel s diverticulum can be repaired with surgery. Meckels diverticulum is a common congenital abnormality of gastrointestinal tract, resulting from an incomplete obliteration of the vitelline duct during the 5th week of the gestation.
Meckels diverticula are uncommon and often clinically silent, particularly in the adult. Anatomi divertikulum meckel merupakan anomaly perkembangan terlazim pada usus halus. It results from incomplete obliteration of the vitelline duct leading to the formation of a true diverticulum of the small intestine. In this report, we aimed to represent a case of intestinal perforation, caused by double meckel s. Meckels diverticulum and its complications are a serious health problem. A meckels diverticulum, a true congenital diverticulum, is a small bulge in the small intestine present at birth. Meckels diverticulum is a remnant of the omphalomesenteric or vitelline duct. Meckel diverticulum merck manuals professional edition.
Files are available under licenses specified on their description page. Meckels diverticulum contains the diverticulum is surgically removed, and the ends of intestine sewn back together. Meckels diverticulum is the most prevalent congenital anomaly of the gi tract 2% of the general population 2% prevalence, 2. Learn about the symptoms of this condition and how its diagnosed and treated. Radiologists perspective for the meckels diverticulum.
1249 1420 1543 1014 232 1144 1266 181 890 710 87 166 1179 1482 932 1464 850 1489 688 593 291 1261 1431 1381 1447 158 1484 1494 104 1500 514 1535 162 177 1035 1200 787 1412 1233 636 1296 890 1059 156 274