Meckel Divertikülünün Yol Açtığı İnce Barsak Volvulusu; Olgu Sunumu

Year 2017, Volume: 2 Issue: 3, 89 - 92, 28.12.2018

Özlem Balcı Sertaç Akman İbrahim Karaman Ayşe Karaman

Abstract

Meckel divertikülü (MD) populasyonun %2 kadarında bulunan gastrointestinal sistemin en sık doğuştan anomalisidir. Olguların çoğunluğu asemptomatiktir, en sık komplikasyonları; inflamasyon, kanama ve barsak tıkanıklıklardır. Burada MD'nin oldukça nadir bir komplikasyonu olan 3 yaşında bir volvulus vakası sunuyoruz. Klinik olarak ve görüntüleme yöntemleriyle barsak tıkanıklığından şüphelenilen hastalarda bu komplikasyon ayırıcı tanıda göz önünde bulundurulmalıdır.

Keywords

Meckel divertikülü, çocuk, volvulus

Volvular Small Bowel Obstruction Due to Meckel's Diverticulum; A Case Report

Abstract

Meckel's diverticulum (MD) is the most common congenital abnormality of the gastrointestinal tract and found in approximately 2% of the population. Most patients are asymptomatic, the most common complications are inflammation, hemorrhage and intestinal obstruction. Here we present a volvulus case that is extremely rare complication of MD, in a 3 years old boy. This complication should be considered in the differential diagnosis when a child presents with the clinical and imaging features of intestinal obstruction

Keywords

Meckel's diverticulum, child, volvulus

References

• 1. Sagar J, Kumar V, Shah DK. Meckel's diverticulum: a systematic review. J R Soc Med 2006;99(10):501-5.
• 2. Quarrie R, Lindsey D, Bahner DP. Review of the incidence and management of Meckel's diverticulum. Austin J Surg 2014;1(3):1015.
• 3.Blevrakis E, Partalis N, Seremeti C, et al. Meckel's diverticulum in paediatric practice on Crete (Greece): a 10-year review. Afr J Paediatr Surg 2011;8(3):279-82.
• 4. Gezer HÖ, Temiz A, İnce E, et al. Meckel diverticulum in children: Evaluation of macroscopic appearance for guidance in subsequent surgery. J Pediatr Surg 2016;51(7): 1177-80.
• 5. Rho JH, Kim JS, Kim SY, et al. Clinical features of symptomatic Meckel's diverticulum in children: comparison of scintigraphic and non-scintigraphic dDiagnosis. Pediatr Gastroenterol Hepatol Nutr 2013;16(1):41-8.
• 6. Francis A, Kantarovich D, Khoshnam N, et al. Pediatric Meckel's diverticulum: report of 208 cases and review of the literature. Fetal Pediatr Pathol 2016;35(3):199-206.
• 7. Dumper J, Mackenzie S, Mitchell P, et al. Complications of Meckel's diverticula in adults. Can J Surg 2006;49(5):353- 7.
• 8. Karaman A, Karaman İ, Çavuşoğlu YH, et al. Management of asymptomatic or incidental Meckels diverticulum. Indian Pediatr 2010;47(12):1055-7.