En la mayoría de las personas, el divertículo de Meckel no causa problemas ni requiere tratamiento. Una complicación grave es la infección e inflamación de la . neumoenema en niños, requiriendo cirugía el 10,7%. Se registraron 78 su importancia: divertículo de Meckel, linfoma in- testinal, quiste. Case Meckel Diverticulitis . Clinically, patients with Meckel diverticulitis often present with . Sandra M. Nino, MD, Montreal, Canada.

Author: Meztishicage Dit
Country: Turkey
Language: English (Spanish)
Genre: Photos
Published (Last): 21 December 2012
Pages: 176
PDF File Size: 4.93 Mb
ePub File Size: 13.29 Mb
ISBN: 917-3-58962-478-8
Downloads: 31312
Price: Free* [*Free Regsitration Required]
Uploader: Doucage

Divertículo de Meckel

Due to its multiform presentation and rarity it is often misdiagnosed and warrants close follow-up to assess therapeutic response. Molecular evaluation of antibiotic susceptibility Tropheryma Whipplei paradigm.

N Engl J Med ; J Gen Microbiol ; Biopsies of the ileum and colon were undertaken. It revealed large amounts of fresh blood not allowing the procedure.

Doença de Whipple

The diagnosis requires a high index of suspicion and is based on complementary tests in most cases mainly CT. Intestinal obstruction associated with the Meckel’s Diverticulum can occur as a result of herniation or intussusception around the fibrous cord that extends from the abdominal wall to the diverticulum, mesentery, or intestinal segment, which can lead to severe obstructive torsion that sometimes causes necrosis and perforation.

We would like to present the case of a year-old female patient with cecal necrosis, which is a rare cause of acute abdomen in elderly women and a variant of ischemic colitis.


We present five cases of patients with Meckel’s diverticulum with atypical presentations, two with internal hernias, one with intestinal invagination and two with blocked perforation. New to Read Sign Up. Gastroenterology Reports ; 2: Remote access to EBSCO’s databases is permitted to patrons of subscribing institutions accessing from remote locations for personal, non-commercial use.

The diagnosis of strangled umbilical hernia was made. Strom R, Gruninger Rp. Arch Psychiatr Nervenker ; For this reason, our case has been identified as the first case seen in the literature Enziger E, Helwing E.

dievrticulo We then analyzed the clinical characteristics, mode of presentation, and management for all patients. According to anecdotal reports in literature, encountering Meckel’s diverticulum in a patient with Crohn’s disease is not uncommon, but differentiating between the overlapping complications of Mickel’s diverticulum and the natural manifestations of Crohn’s disease can be challenging and may impact lifelong therapy. Pre-operative diagnosis is not possible, and histopathological examination is mandatory for establishing a definite diagnosis.

An oesophagogastroduodenoscopy OGD was performed, but se was negative. Meckel’s diverticulum MD is common congenital abnormality of gastrointestinal tract, only about 6. Report 22 pacients Klin wochenschr ; Mayo Clin Proc ; Meckel’s diverticulum represents a remnant of the proximal end of the omphalomesenteric duct, which constitutes a connection between the middle intestine and the vitelline vesicle.

Am J Gastroenterology ; A review Am J Gastroenterol ; Stanging and monitoring by cytology and polymerase chain reaction analysis of cerebrospinal fluid. A rare complication in a liver transplant patient: Fenlar F, Raoult D.

Wietholter H, Dighgans J. His patient was a 36 year-old doctor, who had gradual weigh loss, indefinite abdominal signs and polyarthritis. Curr Treat Options Gastroenterology ;6: The most common complications are hemorrhage, small bowel obstruction, and diverticulitis, jios occur more frequently in children rather than in adults. Este facto sugere que a mucosa intestinal seja a porta de entrada do bacilo Significant bleeding from Meckel’s diverticulum after blunt abdominal trauma: A year-old male presented a 4-day history of gastrointestinal bleeding passage of bloody stool.


The patient was admitted to the hospital with incomplete small bowel obstruction, abdominal pain and massive rectal bleeding. Uveitis caused by Tropheryma whippelii. MD occurs so infrequently that most articles have reported either small series or isolated cases. A Review Annals of Gastroenterology ; No warranty is given diverticuloo the accuracy of the copy. Intestinal perforation due migrated stents is a very rare and life threatening complication. Acid secretion from a Meckel’s diverticulum: Although hemodynamically stable, he kept bleeding intermittently and had to receive 3 more units of red cells.

Bai J Mota A, Maurino et al. J Clin pathol ; Spontaneous perforation dr Meckel’s diverticulum in an adult female with literature review.

Therefore, it is important for clinicians to keep this entity in mind when looking at cases of gastrointestinal bleeding even in adults.