Laparoscopic-Assisted Transumbilical Extracorporeal Resection of Meckel’s Diverticulum in 10 years old boy with symptoms of gastrointestinal bleeding

Main Article Content

Karavdić K
Firdus A
Mešić A
Rahmanović S
Milardović R
Đuran A

Abstract

The Meckel’s diverticulum (MD) is the most common anomaly of ductus omphaloentericus that surgeon encounters in clinical practice. The accurate incidence is unknown because most patients with the Meckel’s diverticulum are asymptomatic. Most studies report an incidence of about 2%. Approximately 4% of patients with the Meckel’s diverticulum become symptomatic.


A 10 years old boy, was sent from regional hospital. His symptoms started the day before he was hospitalized and represented as gastrointestinal bleeding, lower abdominal pain and four times vomiting, without fever. Ultrasound and X-ray of the abdomen were normal. Blood findings showed: RBC 3,19, hemoglobin 0,95, hematocrit 0,27. During a physical examination abdomen was palpatory soft, with no presence of the pain. Digital rectal examination showed blood. A scintigraphy pathologic scan showed a focal lesion of the right hemi abdomen consistent with the Meckel’s diverticulum.Patient was treated byLaparoscopic-Assisted Transumbilical Extracorporeal Resection of the Meckel’s Diverticulum.

Article Details

K, K., A, F., A, M., S, R., R, M., & A, Đuran. (2020). Laparoscopic-Assisted Transumbilical Extracorporeal Resection of Meckel’s Diverticulum in 10 years old boy with symptoms of gastrointestinal bleeding. Archives of Surgery and Clinical Research, 4(1), 006–010. https://doi.org/10.29328/journal.ascr.1001044
Case Reports

Copyright (c) 2020 Karavdić K, et al.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Chan KW, Lee KH, Wong HY, Tsui SY, Wong YS, et al. Laparoscopic excision of Meckel's diverticulum in children:What is the current evidence? World J Gastroenterol. 2014; 20: 15158-15162. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/25386065

Papparella A, Nino F, Noviello C, Marte A, Parmeggiani P, et al. Laparoscopic approach to Meckel's diverticulum. World J Gastroenterol. 2014; 20: 8173-8178. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/25009390

Prasad TR, Chui CH, Jacobsen AS. Laparoscopic-Assisted Resection of Meckel’s Diverticulum in Children. JSLS. 2006; 10: 310–316. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/17212886

Varcoe RL, Wong SW, Taylor CF, Newstead GL.Diverticulectomy is indequate treatment for short Meckel’s diverticulum with heterotopic mucosa. ANZ J Surg. 2004; 74: 869-872. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/15456435

Vane DW, West KW, Grosfeld JL. Vitelline duct anomalies. Experience with 217 childhood cases. Arch Surg. 1987; 122: 542-547. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/3495250

Sai Prasad TR, Chui CH, Singaporewalla FR, Ong CP, Low Y, et al. Meckel’s diverticular complications in children: is laparoscopy the order of the day? Pediatr Surg Int. 2007; 23: 141-147. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/17171378

Menezes M, Tareen F, Saeed A, Khan N, Puri P. Symptomatic Meckel’s diverticulum in children: a 16-year review. Pediatr Surg Int. 2008; 24: 575-577. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/18322689

Rashid OM, Ku JK, Nagahashi M, Yamada A, Takabe K. Inverted Meckel’s diverticulum as a cause of occult lower gastrointestinal hemorrhage. World J Gastroenterol. 2012; 18: 6155-6159. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/23155346

Palanivelu C, Rangarajan M, Senthilkumar R, Madankumar MV, Kavalakat AJ. Laparoscopic management of symptomatic Meckel’s diverticula: a simple tangential stapler excision. JSLS 2008; 12: 66-70. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/18402742

Teitelbaum DH, Polley TZ Jr, Obeid F. Laparoscopic diagnosis and excision of Meckel’s diverticulum. J Pediatr Surg. 1994; 29: 495-497. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/8014801

Schier F, Hoffmann K, Waldschmidt J. Laparoscopic removal of Meckel’s diverticula in children. Eur J Pediatr Surg. 1996; 6: 38-39. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/8721178

Chan KW, Lee KH, Mou JW, Cheung ST, Tam YH. Laparoscopic management of complicated Meckel’s diverticulum in children: a 10-year review. Surg Endosc. 2008; 22: 1509-1512. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/18322735

Shalaby RY, Soliman SM, Fawy M, Samaha A. Laparoscopic management of Meckel’s diverticulum in children. J Pediatr Surg. 2005; 40: 562-567. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/15793736

Ng WT, Wong MK, Kong CK, Chan YT. Laparoscopic approach to Meckel’s diverticulectomy. Br J Surg. 1992; 79: 973-974. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/1422773

Attwood SE, McGrath J, Hill AD, Stephens RB. Laparoscopic approach to Meckel’s diverticulectomy. Br J Surg. 1992; 79: 211. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/1532525

Altinli E, Pekmezci S, Gorgun E, Sirin F. Laparoscopy-assisted resection of complicated Meckel’s diverticulum in adults. Surg Laparosc Endosc Percutan Tech. 2002; 12: 190-194. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/12080263

Park JJ, Wolff BG, Tollefson MK, Walsh EE, Larson DR.. Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950-2002). Ann Surg. 2005; 241: 529-533. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/15729078

Amoury R, Snyder C. Meckel’s diverticulum. Pediatric surgery. Louis: Mosby, St., 1988; 1173-1184.

Sai Prasad TR, Chui CH, Singaporewalla FR, Ong CP, Low Y, et al. Meckel’s diverticular complications in children: is laparoscopy the order of the day? Pediatr Surg Int. 2007; 23: 141-147. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/17171378

Teitelbaum DH, Polley TZ Jr, Obeid F. Laparoscopic diagnosis and excision of Meckel’s diverticulum. J Pediatr Surg. 1994; 29: 495-497. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/8014801