Laparoscopic-Assisted Transumbilical Extracorporeal Resection of Meckel’s Diverticulum in 10 years old boy with symptoms of gastrointestinal bleeding
Main Article Content
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
Copyright (c) 2020 Karavdić K, et al.

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