Diverticulul Meckel. Serie de cazuri clinice şi revista literaturii

Abstract

Meckel’s diverticulum is a common anomaly of the small intestine that occurs in approximately 2% of the population, often found incidentally at the time of abdominal exploration. It results from improper closure and absorption of the omphalomesenteric duct. Meckel’s diverticulum is the most common end result of the spectrum of omphalomesenteric duct anomalies, which also include umbilicoileal fi stula, umbilical sinus, umbilical cyst, and a fi brous cord connecting the ileum to the umbilicus. The formation of Meckel’s diverticulum occurs with equal frequency in both sexes, but symptoms from complications are more common in male patients. Heterotopic gastric and pancreatic mucosa are frequently found histologically within the diverticula of symptomatic patients. The most common complications are haemorrhage from peptic ulceration, small intestinal obstruction, and diverticulitis. Although the clinical, pathologic, and radiologic features of the complications of Meckel’s diverticulum are well known, the diagnosis of Meckel’s diverticulum is diffi cult to establish preoperatively. We present our experience with the diagnosis and treatment of 18 patients with Meckel’s diverticulum, as well as the relevant literature review.