Complications of Meckel diverticulum in children
Department of Pediatric Visceral Surgery, A. Harouchi Children’s Hospital, Ibn ROCHD University Hospital, Casablanca.
Research Article
World Journal of Advanced Research and Reviews, 2024, 22(03), 2209–2213
Publication history:
Received on 20 May 2024; revised on 26 June 2024; accepted on 28 June 2024
Abstract:
Meckel diverticulum is a rare and often latent pathology. Clinical manifestations are those of complications revealing this anomaly, whose diagnosis is essentially intraoperative; imaging examinations are not contributory. The aim of this work is to report the experience of the University Hospital of Casablanca through an epidemiological, clinical and therapeutic analysis of cases of children admitted for Meckel diverticulum between January 2017 and December 2023. The average age of patients was 4 years and 40% of complications were observed during the first year of life. The variable symptomatology explains the delay in management, which can go up to 9 days. The main revealing complications are intestinal invagination (60%) and intestinal occlusion (30%), these being observed with a clear male predominance with a sex ratio of 2.3. The surgical treatment consisted of a segmental resection followed by an anastomosis: the anatomo-pathological analysis highlighted two cases of heterotopia. In summary, Meckel diverticulum, although rare, must be present in the mind of the surgeon and benefit from a codified management because of complications related to mucous heterotopias.
Keywords:
Meckel diverticulum; Infant; Complications; Intussusception; Obstruction; Heterotopia
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Copyright © 2024 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0