Meckel’s diverticulum: Manifestations and Treatment
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Meckel’s diverticulum — a protrusion in the form of a bag in the terminal ileum. This is inherent in the formation of the small intestine, which can be detected by careful study about 2% of the population. Most of them, it does not bother. Normally found in the case of operations on the abdomen and the intestine or complications associated with itself diverticulum.
Meckel’s diverticulum Manifestations
Often the disease is hidden. Mainly manifested already complications of this disease or inflammation of a diverticulum area. Signs of acute surgical pathology:
- acute diverticulitis,
- bleeding from the bowel due to ulcer formation of a diverticulum,
- perforation of the diverticulum with formation of peritonitis,
- infringement diverticulum (Littré hernia)
- the formation of intestinal obstruction by intussusception type of bloat,
- the formation of adhesions, bands,
- chronic diverticulosis.
The processes of inflammation or tissue destruction diverticulum explained by a number of different conditions: circulatory disturbance due to anatomic abnormality of education, lack of muscle fibers in the walls of the circular. In addition, the diverticulum is often a narrow isthmus, which makes it difficult to exit from accumulating contents, and provides formation around scars and adhesions with a number of underlying tissue. Due to the active movements and loads on the abdominal diverticulum can be twisted and pererastyagivatsya.
Also often disease fragments has a gastric or pancreatic tissue, resulting in secretion of these tissues enzymes walls ulceration and development of complications. Most often there is an acute diverticulitis — inflammation mekkeleva divetrikula. It manifests symptoms similar to appendicitis — a serious condition, abdominal pain, nausea and vomiting. High fever, leukocytosis with a sharp, significant symptoms of intoxication. But does it pinpoint diverticulitis or appendicitis can only during the operation.
Meckel’s diverticulum Diagnostics
The basis of diagnosis — diagnostic or therapeutic laparotomy (open surgery) or laparoscopic — endoscopic surgery (video, youtube)
Meckel’s diverticulum Treatment
Surgical treatment in exacerbations — thorough inspection of the abdominal cavity with the removal of the diverticulum and suturing and drainage of the abdominal cavity. When inflammation of the intestine with the transition to carry out a wedge resection of the diverticulum part of the intestine. If the diverticulum is found during surgery for another reason, it is also recommended to delete.
The prognosis depends on whether the diverticulum complicated by bleeding, perforation or peritonitis, and the age of the patient and the volume of transactions. Generally favorable prognosis.