Meckel's Diverticulum Series at UCMS, Bhairahawa, Nepal

Authors

  • P Joshi Assistant Professor, Department of Surgery, Universal College of Medical Sciences & Teaching Hospital, Bhairahawa

DOI:

https://doi.org/10.3126/jucms.v1i3.8767

Abstract

Meckel's Diverticulum is the most common congenital malformation of the Gastrointestinal tract. It represent the patent intestinal end of the vitellointestinal duct. It occurs in 2 % of of population in autospy series and usually lie 60 cm from the Ileocaecal junction. It possesses all the three coats of intestinal wall. It has the same microscopic structure as the adjacent small bowel and it has a separate blood supply from the adjacent small bowel mesentery (the omphalomesenteric artery).1   In 20% of the cases, the mucosa contains heterotopic epithelium, namely gastric, colonic and sometimes pancreatic tissue. Although Meckel's diverticulum occurs with equal frequency in both sexes, symptoms usually resulting   from   the epithelium contained in the diverticulum predominantly occur in males.2

Complications develop in only 4% of patients with this malformation, with most cases presenting in childhood3. Complications of Meckel's diverticulum include hemorrhage, bowel obstruction, inflammation, and perforation. All of these complications can be challenging to diagnose because patients may present with non-specific symptoms, which produce a clinical  picture that  can  mimic  other  more  common  gastrointestinal  disorders.4 Most  of  the  cases  are  diagnosed intraoperatively. Here, we present a case series of 5 patients in a year 2012 at Universal College of Medical College & Teaching Hospital, Bhairahawa, Nepal.

DOI: http://dx.doi.org/10.3126/jucms.v1i3.8767  

Journal of Universal College of Medical Sciences Vol.1(3) 2013: 56-57

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Published

2013-09-28

How to Cite

Joshi, P. (2013). Meckel’s Diverticulum Series at UCMS, Bhairahawa, Nepal. Journal of Universal College of Medical Sciences, 1(3), 56–57. https://doi.org/10.3126/jucms.v1i3.8767

Issue

Section

Case Reports