Small bowel obstruction in infants due to complicated Meckel’s diverticulum: A case series
1 Department of mother and child radiology, CHU Hassan II, Fès. Morocco.
2 Department of central radiology, CHU Hassan II, Fès. Morocco.
3 Laboratory of Neurosciences, Faculty of Medecine and Pharmacy of Fez, Sidi Mohamed Ben Abdellah University, Fez, Morocco.
4 Department of Pediatric surgery, CHU Hassn II, Fès. Morocco.
Research Article
World Journal of Advanced Research and Reviews, 2023, 19(03), 060–066
Article DOI: 10.30574/wjarr.2023.19.3.1602
Publication history:
Received on 01 July 2023; revised on 28 August 2023; accepted on 31 August 2023
Abstract:
Objectives: Our purpose is to illustrate the radiological aspects of Meckel’s diverticulum as an etiology of small bowel obstruction in infants.
Material: We report a group of 4 patients with Meckel’s diverticulum complicated with small bowel obstruction that underwent surgery. We reviewed patient records, clinical presentation, ultrasound and CT imaging and intraoperative findings.
Results: All included patients presented symptoms of bowel obstruction, one patient presented acute abdomen symptoms. The median age of our group was 5 years, all patients were males.
All patients underwent radiological explorations. Ultrasound showed small bowel dilatation in all cases, and CT scan confirmed small bowel obstruction with ischemic complications in one patient.
All of the 4 patients had laparotomy with the finding of MD responsible of small bowel obstruction in all cases, with on case of perforated loop and latero-caecal abscess. The obstruction was secondary to fibrous adhesions in three cases and the omphalomesenteric duct in one cases.
All the patients had normal evolution with no post-operative complications.
Conclusion: Meckel’s diverticulum represents a rare embryological remnant. It is a differential diagnosis in pediatric bowel obstruction and remains an intraoperative surprise despite the very abvanced imaging studies.
Keywords:
Meckel’s diverticulum; Small bowel obstruction; Pediatrics; Imaging
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Copyright © 2023 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0