Nuclear medicine (pertechnetate scan) Ectopic gastric mucosa, if present, can be picked up on this scan, but again does not usually play a role in the acute presentation. [radiopaedia.org]

Mild inflammatory changes were present in the adjacent mesentery in all patients with visualized diverticula, and in seven patients a small amount of mesenteric fluid was present. [ajronline.org]

Session Number: Poster – Poster Presentations Program Number: P537 View Poster Post Views: 326 Related « Return to SAGES 2012 abstract archive [sages.org]

Patients with small intestine diverticulitis frequently present with acute abdominal pain, leukocytosis, and elevated amylase levels, which is very similar to the presentation of our patients. [karger.com]

• Pain

  View larger version (61K) Fig. 2A. — 5-year-old boy with right lower quadrant pain. [ajronline.org]

  Case 2 An 86-year-old woman presented to the MD Anderson Emergency Center with moderately severe abdominal pain (severity, 8–10). Nausea and vomiting started 5 days before the onset of pain. The pain had become very severe within the prior 24 h. [karger.com]

  CASE REPORT A 59-year-old man presented with a 12-h history of sudden onset of right upper quadrant and epigastric pain. The pain was then felt localized to the right iliac fossa and was constant, made worse with movement. [ncbi.nlm.nih.gov]

  Abdominal pain in children. Pediatr Clin North Am. 2006;53(1):107–137. Park JJ, Wolff BG, Tollefson MK, et al. [5minuteconsult.com]

  In Part Three specific and non-specific pain syndromes and their management are described, including pain in neurological disease, in HIV and AIDS patients, and after surgery or spinal cord injury, regional pain in the head, face, neck, back, joints, [books.google.ro]

• Inflammation

  Doppler may reveal anomalous vessels and signs of inflammation along the diverticulum. CT CT is the main modality employed in imaging patients with acute abdominal pain and signs of inflammation. [radiopaedia.org]

  Meckel diverticulum is the most common congenital anomaly of the small intestine that generally comes to attention due to a variety of complications, such as gastrointestinal tract bleeding, bowel obstruction or acute inflammation. [ncbi.nlm.nih.gov]

  Symptomatic complications include bleeding, obstruction, or inflammation. [ajronline.org]

  It would seem apparent that whenever a Meckel's diverticulum is in any way involved in disease that inflammation (mechanical, bacterial, mycotic, viral, etc.) must be part [jamanetwork.com]

• Fever

  Fever is uncommon and most patients have had previous painful ovulation. In pelvic inflammatory disease, including salpingitis and tubo-ovarian abscess, there is a longer duration of symptoms, higher fever, greater leucocytosis and more pelvic pain. [surgwiki.com]

  […] with sneezing, coughing, and deep breathing Loss of appetite Slight fever Diagnosis If you have symptoms, the doctor will ask about your symptoms and medical history. [cancercarewny.com]

  The ER physician had just examined an ill looking seven-year old boy with right sided abdominal pain, nausea, vomiting and fever. The ER doctor wanted me to come and give a surgical opinion. [nbharwani.com]

  However, inflammation of diverticuli, resulting in diverticulitis, typically yield a left lower quadrant abdominal pain as well typical signs of infection such as fever, chills, and anorexia. [pathwaymedicine.org]

  Other symptoms include fever, constipation, and swelling of the stomach. What causes a Meckel’s diverticulum ? A Meckel’s diverticulum is formed when the fetus is in the womb. The pouch is made up of leftover tissue from the baby’s digestive tract. [familydoctor.org]

• Anemia

  Materials and Methods: Two patients with anemia of unknown cause and a further patient with acute small bowel obstruction underwent diagnostic laparoscopy. [liebertpub.com]

  Iron replacement may be required to correct anemia. Bowel rest, in which the patient is not allowed to eat, drink or take pills, and receives nutrition and fluids intravenously (through a vein), is sometimes needed when there is a blockage. [drugs.com]

  This test checks for anemia or infection. A stool sample may be checked for blood. Barium enema and small bowel series. This procedure is done to examine the large intestine for abnormalities. [stanfordchildrens.org]

  Blood test: This is done to determine if anemia or infection is present. A stool sample may also be obtained to check for frank (obvious) or occult (hidden) blood. [cincinnatichildrens.org]

  It can be massive and dramatic, manifesting as bright red blood in the stool, or slow and occult, manifesting as guaiac-positive stools or anemia. [pubs.rsna.org]

• Surgical Procedure

  This video demonstrates a case of a 49-year-old male patient, who necessitated an emergency surgical procedure for the management of a small bowel obstruction induced by the presence of Meckel’s diverticulum and intussusception. [websurg.com]

  As with other gastrointestinal surgical procedures, possible postoperative complications include a small risk of wound infection and developing adhesions later in life. [cincinnatichildrens.org]

  Surgery La-Pa Meckel's Diverticulectomy Definition Meckel's diverticulectomy is a surgical procedure that isolates and removes an abnormal diverticulum (Meckel's diverticulum) or pouch, as well as surrounding tissue, in the lining of the small intestine [surgeryencyclopedia.com]

  The finer points of diagnosis can be accomplished when the abdomen is open for inspection during a surgical procedure. This situation is called an acute abdomen. [medical-dictionary.thefreedictionary.com]

  The presenting symptoms, investigations ordered, operative findings, surgical procedure followed, complications after surgery, histopathological findings and number of days in the hospital were recorded in detail in each case. [ncbi.nlm.nih.gov]

• Abdominal Pain

  Abdominal pain in children. Pediatr Clin North Am. 2006;53(1):107–137. Park JJ, Wolff BG, Tollefson MK, et al. [5minuteconsult.com]

  Because patients with non-Meckel small intestine diverticulitis can present with acute abdominal pain, non-Meckel small intestine diverticulitis should be considered in the differential diagnosis of patients with acute abdominal pain, and computed tomography [karger.com]

  View larger version (82K) Fig. 5B. — 54-year-old man with abdominal pain and fever. [ajronline.org]

  Inverted Meckel diverticulum in a 61-year-old woman with intermittent abdominal pain. [pubs.rsna.org]

  Abstract A thirteen-year old girl presented with acute right lower quadrant abdominal pain for which evaluation suggested appendicitis. [ncbi.nlm.nih.gov]

• Vomiting

  Inverted Meckel diverticulum with intussusception in a 31-year-old man who complained of abdominal pain, nausea, vomiting, and fever. [pubs.rsna.org]

  Symptoms and Signs In all ages, intestinal obstruction is manifested by cramping abdominal pain, nausea, and vomiting. [msdmanuals.com]

  […] obliteration of the omphalomesenteric duct True diverticula (contains all layers): 50% contain normal ileal mu... 3 different types of presentation: Rectal bleeding due to hemorrhage, which results from mucosal ulcerations within the ectopic gastric tissue Vomiting [5minuteconsult.com]

  Case Report A 64 year old lady presented to the emergency room with right lower quadrant pain, nausea and vomiting. CT scan of the abdomen showed an inflammatory mass in the mid-abdomen with a normal appendix. Meckel’s diverticulitis was suspected. [sages.org]

  There may be a preceding period of anorexia, nausea and vomiting that lasts 12–24 hours. Severe vomiting is uncommon. The usual sequence is anorexia, followed by central abdominal pain, then vomiting and finally pain in the right iliac fossa. [surgwiki.com]

• Nausea

  Case Report A 64 year old lady presented to the emergency room with right lower quadrant pain, nausea and vomiting. CT scan of the abdomen showed an inflammatory mass in the mid-abdomen with a normal appendix. Meckel’s diverticulitis was suspected. [sages.org]

  The ER physician had just examined an ill looking seven-year old boy with right sided abdominal pain, nausea, vomiting and fever. The ER doctor wanted me to come and give a surgical opinion. [nbharwani.com]

  His abdominal pain was initially transient but increased in intensity and was associated with nausea and vomiting but no fever. [karger.com]

  Symptoms may include: Pain in the abdomen that can be mild or severe Blood in the stool Nausea and vomiting Symptoms often occur during the first few years of life. However, they may not start until adulthood. [medlineplus.gov]

  Some signs and symptoms of Meckel’s Diverticulum include pain in the abdomen, nausea and vomiting, or blood in the stool Excess bleeding or blockages in the intestines are some of the complications of Meckel’s Diverticulum. [dovemed.com]

• Acute Abdomen

  Despite this, it is an uncommon cause of acute abdomen and is often not correctly diagnosed pre-operatively. This article focuses on Meckel diverticulitis. [radiopaedia.org]

  We conclude that in cases of acute abdomen punctured, the diagnosis of Meckel's diverticulum should be considered. Keywords: Meckel's diverticulum; Peritonitis; Abdomen, acute (source: MeSH NLM). [scielo.org.pe]

  We report a case of a 59-year-old male who was admitted under the surgical service at Blackpool Victoria Hospital with suspected appendicitis that turned out to be a Meckel's diverticulitis, a rare presentation of an acute abdomen. [ncbi.nlm.nih.gov]

• Abdominal Tenderness

  On physical examination there was abdominal tenderness, a palpable mass in the lower abdomen, rebound tenderness and increased bowel sounds. [sonoworld.com]

  Abdominal tenderness and pain is localized and felt around the navel. It is often similar to that of appendicitis except for site of tenderness or pain. Children may have repeated episodes of bleeding from the rectum without any pain. [news-medical.net]

  On clinical examination, abdominal tenderness of the right lower quadrant was noted, and there were sounds of peristalsis on auscultation. The results of a digital rectal examination were normal. [consultant360.com]

  The patient appeared uncomfortable with a soft but distended abdomen with mild right lower quadrant abdominal tenderness. [ijcasereportsandimages.com]

(It would not be included in the workup of GI bleeding, which would be from the inside of the intestine.) [mdmag.com]

No further workup was done. Resuscitation was initiated immediately in the emergency department with intravenous fluids. Nasogastric tube was placed. [ijcasereportsandimages.com]

• Neutrophilia

  Laboratory studies in cases of Meckel diverticulitis may reveal a high white blood cell count with neutrophilia and bandemia, with or without a positive stool guaiac test result. [clinicaladvisor.com]

• Occult Blood Positive

  It can be massive and dramatic, manifesting as bright red blood in the stool, or slow and occult, manifesting as guaiac-positive stools or anemia. [pubs.rsna.org]

Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances. [books.google.com]

Usually the diagnosis of acute appendicitis is made, and this wrong diagnosis will stimulate the right surgical treatment as it does in many other rare abdominal diseases. [jamanetwork.com]

The gold standard treatment is laparoscopic surgical resection. [websurg.com]

You may need a blood transfusion if you have a lot of bleeding, Outlook (Prognosis) Most people recover fully from surgery and will not have the problem come back. Complications from the surgery are also unlikely. [ufhealth.org]

Prognosis With surgery, full recovery can be expected. [drugs.com]

Outlook (Prognosis) Most people who have this surgery have a good outcome. But the results of any surgery depend on your overall health. Talk with your doctor about your expected outcome. References Harris JW, Evers BM. Small intestine. [mountsinai.org]

Prognosis The outcome after surgery is usually excellent. The source of bleeding, pain, or obstruction is removed so the symptoms also disappear. A Meckel's diverticulum will not return. [medical-dictionary.thefreedictionary.com]

Its successful management depends on a comprehensive knowledge of the etiology and pathophysiology of obstruction, familiarity with imaging methods, good clinical judgment, and sound technical skills. [websurg.com]

Definition / general Most prevalent congenital abnormality of GI tract, in 2% of normal population Usually asymptomatic but also abdominal pain of unknown etiology ( Rev Esp Enferm Dig 2011;103:250 ) Due to persistence (failure to involute) of proximal [pathologyoutlines.com]

Because of the now obvious etiology (a small bowel volvulus) of his abdominal symptoms, no biopsy was performed and a gastroscopy was foreseen after the patient recuperated from surgery. The patient recovered well. [consultant360.com]

a patent omphalo-mesenteric canal detected during the newborn period disappeared at 3 months of age, leaving a diverticulum adherent to the mesentery without a meso-diverticular band. [6] In their case-series, Donellan et al ., described that the etiology [saudijhealthsci.org]

Epidemiology Prevalence : most common congenital gastrointestinal tract anomaly ( ∼ 2% of the population) Sex: ♂ > ♀ ( 2:1 ) Age: < 2 years of age References: [1] [2] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]

The broad coverage under Part One encompasses basic science, including applied physiology, genetics and epidemiology, through societal aspects of chronic pain and disability, to patient assessment, diagnostic procedures and outcome measures. [books.google.ro]

An epidemiologic, population-based study. [scirp.org]

An epidemiologic population-based study. Ann Surg. 1994;220(4):564-568. Lin S, Suhocki PV, Ludwig KA, Shetzline MA. Gastrointestinal bleeding in adult patients with Meckel’s diverticulum: The role of technetium 99m pertechnetate scan. [cancercarewny.com]

Meckel’s diverticulum: a high-risk region for malignancy in the ileum—insights from a population-based epidemiological study and implications in surgical management. Ann Surg 2011 ;253(2):223–230. [pubs.rsna.org]

Its successful management depends on a comprehensive knowledge of the etiology and pathophysiology of obstruction, familiarity with imaging methods, good clinical judgment, and sound technical skills. [websurg.com]

Pathophysiology and Rationale for Treatment 197 Chapter 10 The Physiology of Anesthesia and Pain 213 Chapter 11 Sepsis and the Syndrome of Multiple Organ Failure 227 Chapter 12 Application of Cellular and Molecular Biology in Modern Surgical Practice [books.google.ro]

Pathophysiology The omphalomesenteric (vitelline or vitellointestinal) duct is a patent tubular structure connecting the yolk sac to the alimentary tract in the embryo. The duct is normally obliterated by the 6 th week of intrauterine life. [amboss.com]

Although it generally remains silent but life threatening complications may arise making it an important structure for having a detailed knowledge of its anatomical and pathophysiological properties to deal with such complications. [wjes.biomedcentral.com]

Detailed knowledge of the pathophysiological properties is essential in dealing with the life-threatening complications of Meckel's diverticulum. [15] References [ edit ] ^ Elsayes KM, Menias CO, Harvin HJ, Francis IR (July 2007). [en.wikipedia.org]

Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.com]

Radiographically, Meckel's diverticuli are difficult to diagnose when symptomatic because of oedema around the opening into the intestinal lumen - this may prevent contrast entering the diverticulum. [gpnotebook.co.uk]

Prevention There are no current guidelines to prevent Meckel diverticulum since the cause is unknown. References: Cullen JJ, Kelly KA, Moir CR, Hodge DO, Zinsmeister AR, Melton LJ 3rd. Surgical management of Meckel’s diverticulum. [cancercarewny.com]

Can a Meckel’s diverticulum be prevented or avoided? You cannot prevent or avoid a Meckel’s diverticulum. Meckel’s diverticulum treatment Treatment for a Meckel’s diverticulum is needed for people who have symptoms. [familydoctor.org]

Prevention There is nothing that you can do to prevent developing Meckel’s diverticulum. It is a congenital defect, meaning you are born with it. Content was created using EBSCO’s Health Library. [uvahealth.com]