Meckel's diverticulum in Nicaraguan adults. Report of two cases and review of the literature

Authors

  • José Arnoldo González Bermúdez General practitioner. A resident of the specialty in General Surgery. Hospital Alemán Nicaragüense, Managua, Nicaragua. https://orcid.org/0000-0002-9154-2387
  • Fernanda Pineda Gea General practitioner. Hearing prosthetist, Master in Education, Teaching and University Research, USMP, Peru. University Professor at Universidad Católica Redemptoris Mater Managua, Nicaragua https://orcid.org/0000-0003-0927-3585

DOI:

https://doi.org/10.5377/rtu.v13i38.19125

Keywords:

Case report, meckel’s diverticulum, surgical intervention, SCARE guide

Abstract

Introduction: The cases described discuss the prevalence of this clinical entity simulating an acute surgical abdomen in adult men and compares the approach to symptomatic and asymptomatic Meckel’s diverticulum.
Methods: This case report was reported using the international guidelines that guide the aspects of writing and publishing a surgical case report, mentioned in the SCARE guide (Surgical CAse REport, 2020).
Case presentation: Male patients aged 31 (case 1) and 19 years (case 2) respectively, who attended the unit with acute surgical abdomen in whom Meckel’s diverticulum was diagnosed incidentally (case 1) concomitant with acute and symptomatic appendicitis. (Case 2) complicated by inflammation, a location was observed on the antimesenteric side of the ileum, approximately 80 cm from the ileocecal valve, with a length that ranged from 2 (case 1) to 10 mm (case 2). Diverticulectomy was performed, using the wedge reception technique with primary anastomosis (case 1) and intestinal reception with approximately a 5cm margin of the diverticulum with end-to-end anastomosis in two planes (case 2), the approach was successful in both patients.
Conclusion: The diagnosis of complicated Meckel’s diverticulum in adults is difficult because the clinical characteristics in patients with complications are non-specific and are not clinically distinguishable from appendicitis. Exploratory laparotomy seems to be an ideal surgical approach in cases of acute surgical abdomen. with uncertain diagnosis.

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References

Agha, Riaz A et al. “The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.” International journal of surgery (London, England) vol. 84 (2020): 226-230. https://www.scareguideline.com/

Chen, J. J., Lee, H. C., Yeung, C. Y., Chan, W. T., Jiang, C. B., Sheu, J. C., & Wang, N. L. (2014). Meckel's Diverticulum: Factors Associated with Clinical Manifestations. ISRN gastroenterology, 2014, 390869. https://doi.org/10.1155/2014/390869

Hansen, C. C., & Søreide, K. (2018). Systematic review of epidemiology, presentation, and management of Meckel's diverticulum in the 21st century. Medicine, 97(35), e12154. https://doi.org/10.1097/MD.000000000001215

Murruste, M., Rajaste, G., & Kase, K. (2014). Torsion of Meckel's diverticulum as a cause of small bowel obstruction: A case report. World journal of gastrointestinal surgery, 6(10), 204–207. https://doi.org/10.4240/wjgs.v6.i10.204

Parvanescu, A., Bruzzi, M., Voron, T., Tilly, C., Zinzindohoué, F., Chevallier, J. M., Gucci, M., Wind, P., Berger, A., & Douard, R. (2018). Complicated Meckel's diverticulum: Presentation modes in adults. Medicine, 97(38), e12457. https://doi.org/10.1097/MD.0000000000012457

Shirakabe, K., & Mizokami, K. (2023). A Case of Torsion of Meckel's Diverticulum. Cureus, 15(1), e33850. https://doi.org/10.7759/cureus.33850

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Published

2024-11-28

How to Cite

González Bermúdez, J. A., & Pineda Gea, F. (2024). Meckel’s diverticulum in Nicaraguan adults. Report of two cases and review of the literature. Torreon Universitario Magazine, 13(38), 202–210. https://doi.org/10.5377/rtu.v13i38.19125

Issue

Vol. 13 No. 38 (2024)

Section

Health and Social services

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