Meckel’s diverticulum: Report of two cases and review of literature.

摘要

Meckel’s diverticulum is located on the anti-mesenteric border of the ileum 2 feet proximal to the ileocecal junction with a length varying from 1-10cm. Approximately half of the Meckel’s diverticula are lined by gastric mucosa. If symptomatic, it can present as a lower GI bleeding, intestinal obstruction or diverticulitis. High degree of suspicion is required for diagnosis of Meckel’s diverticulum. Radio nucleotide scan is useful in presence of ectopic mucosa. Surgical treatment of Meckel’s diverticulum includes either diverticulectomy or ileal resection. Case 1 A 13-year-old male patient admitted with the chief complaint of generalized abdominal pain and vomiting associated with no passing of stool since the last 2 days. On examination, signs of peritonitis were present, x-rays showed dilated bowel loops and the blood picture revealed a leucocytosis with left shift. It was decided to explore the belly. On exploration, a Meckel’s diverticulum with a length of around 17cm was found, with inflammatory changes (figure 1). Resection and anastomosis was performed and the post-operative course was unremarkable.