BibTex RIS Cite

Akut Gastroenterit Tablosu Sonucu Gelişen Meckel Divertikülit Olgusu: İleus’un Nadir Bir Sebebi

Year 2013, Volume: 4 Issue: 2, 52 - 54, 01.04.2013

Abstract

Meckel divertikülü toplumun %2-3’ünde gözlenebilen gastrointestinal sistemin konjenital bir anomalisidir. Meckel divertikülü
bulunan olguların sadece %2’sin de klinik problemler gözlenmektedir. Divertikülit, bu olgular içinde özellikle yaşlı populasyonda yaklaşık olarak %10-20’sinde gözlenebilmektedir. Bu anomali omfolomezenterik kanalın 7’nci gestasyonal haftaya kadar
kapanmasında gecikme olması sonucu gözlenmekle birlikte en
sık olarak ileoçekal valvden 2 feet uzaklıkta gözlenebilmektedir.
Sıklıkla asemptomatik iken, gastrointestinal kanama ve intestinal
obstruksiyon gibi semptomlarla karşımıza çıkabilmektedir. Yirmi
iki yaşında erkek bir olgu 24 saattir devam eden ve gittikçe artma
gösteren karın ağrısı ve bulantı şikayeti ile acil servise başvurdu.
Hastanın yaklaşık 1 hafta once gelişen akut gastroenterit hikayesi
mevcut idi. Fizik muayenesinde alt abdominal peritoneal hassasiyet bulguları mevcut idi. Yapılan ultrasonografik inceleme sonucunda distal ince barsak komşuluğunda sağ alt kadranda transvers çapı 16 mm olan tubuler yapı saptandı. Exploratif laparotomi
sonucunda Meckel divertiküliti tablosu ve buna bağlı olarak gelişen ileus saptandı. Akut abdomen ve gastrointestinal system
obstruksiyonu tablosu ile başvuran olgularda Meckel divertiküliti
tablosu mutlaka akılda tutulmalı ve ayırıcı tanıda mutlaka akılda
tutulmalıdır.

References

  • Ellis H. Meckel\’s diverticulum; diverticulosis of small intestine; umblical fistula and tumors. In: Shwartz SI, Ellis H, Hussers WC (eds) Maingot\’s Abdominal Operations. Appleton- Century-Crofts, Norwalk, Connecticut 1985.p.1085-104.
  • Houssaini NS, Tizniti S, Abouabdillah Y, Cherkaoui MM. Patent omphalo- mesenteric duct: a case report. Arch Pediatr 2004; 11: 1342-5.
  • Yahchouchy EK, Marano AF, Etienne JC, Fingerhut AL. Meckel’s diverticu- lum. J Am Coll Surg 2001; 192: 658-62. [Crossref]
  • Stringer MD, Spitz L, Abel R, Kiely E, Drake DP, Agrawal M, et al. Manage- ment of alimentary tract duplication in children. Br J Surg 1995; 82: 74-8. [Crossref]
  • Bemelman WA, Hugenholtz E, Heij HA, Wiersma PH, Obertop H. Meckel’s diverticulum in Amsterdam: experience in 136 patients. World J Surg 1995; 19: 734-6. [Crossref]
  • You JS, Chung SP, Park YS, Yu JS, Park YA. A case of strangulated small bowel obstruction caused by Meckel’s diverticulum in an adult. J Emerg Med 2007; 33: 133-5. [Crossref]

Meckel’s Diverticulitis Associated with Acute Gastroenteritis: A Rare Cause of Ileus

Year 2013, Volume: 4 Issue: 2, 52 - 54, 01.04.2013

Abstract

Meckel’s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract, occurring in 2-3% of the population. Only 2% of patients with MD manifest clinical problems. Diverticulitis occurs in approximately 10-20% of patients with symptomatic MD and more often in the elderly population. This anomaly is due to the incomplete obliteration of the omphalomesenteric duct during the seventh week of gestation and is classically located two feet proximal to the ileocaecal valve. While most of the population may be asymptomatic, clinical manifestation, including gastrointestinal bleeding and intestinal obstruction, may be present. We present the case of a 22 year old man who presented with a 24 hour history of worsening abdominal pain and nausea with a history of gastroenteritis. His examination revealed lower abdominal peritonitis. An abdominal ultrasonography revealed a tubular structure with 16 mm transverse diameter in the right lower abdomen adjacent to the distal small bowel. Exploratory laparotomy was performed, which revealed an acutely inflamed Meckel’s diverticulitis causing ileus. Consideration of this condition in the differential upon presentation of an acute abdomen and obstruction of the gastrointestinal tract is essential, secondary to the morbidity that can accompany this condition when misdiagnosed

References

  • Ellis H. Meckel\’s diverticulum; diverticulosis of small intestine; umblical fistula and tumors. In: Shwartz SI, Ellis H, Hussers WC (eds) Maingot\’s Abdominal Operations. Appleton- Century-Crofts, Norwalk, Connecticut 1985.p.1085-104.
  • Houssaini NS, Tizniti S, Abouabdillah Y, Cherkaoui MM. Patent omphalo- mesenteric duct: a case report. Arch Pediatr 2004; 11: 1342-5.
  • Yahchouchy EK, Marano AF, Etienne JC, Fingerhut AL. Meckel’s diverticu- lum. J Am Coll Surg 2001; 192: 658-62. [Crossref]
  • Stringer MD, Spitz L, Abel R, Kiely E, Drake DP, Agrawal M, et al. Manage- ment of alimentary tract duplication in children. Br J Surg 1995; 82: 74-8. [Crossref]
  • Bemelman WA, Hugenholtz E, Heij HA, Wiersma PH, Obertop H. Meckel’s diverticulum in Amsterdam: experience in 136 patients. World J Surg 1995; 19: 734-6. [Crossref]
  • You JS, Chung SP, Park YS, Yu JS, Park YA. A case of strangulated small bowel obstruction caused by Meckel’s diverticulum in an adult. J Emerg Med 2007; 33: 133-5. [Crossref]
There are 6 citations in total.

Details

Other ID JA37CS38NH
Journal Section Case Report
Authors

Hüsrev Diktaş This is me

Bilal Kabalak This is me

Hamdi Tüfekçi This is me

Publication Date April 1, 2013
Submission Date April 1, 2013
Published in Issue Year 2013 Volume: 4 Issue: 2

Cite

APA Diktaş, H., Kabalak, B., & Tüfekçi, H. (2013). Meckel’s Diverticulitis Associated with Acute Gastroenteritis: A Rare Cause of Ileus. Journal of Emergency Medicine Case Reports, 4(2), 52-54.
AMA Diktaş H, Kabalak B, Tüfekçi H. Meckel’s Diverticulitis Associated with Acute Gastroenteritis: A Rare Cause of Ileus. Journal of Emergency Medicine Case Reports. April 2013;4(2):52-54.
Chicago Diktaş, Hüsrev, Bilal Kabalak, and Hamdi Tüfekçi. “Meckel’s Diverticulitis Associated With Acute Gastroenteritis: A Rare Cause of Ileus”. Journal of Emergency Medicine Case Reports 4, no. 2 (April 2013): 52-54.
EndNote Diktaş H, Kabalak B, Tüfekçi H (April 1, 2013) Meckel’s Diverticulitis Associated with Acute Gastroenteritis: A Rare Cause of Ileus. Journal of Emergency Medicine Case Reports 4 2 52–54.
IEEE H. Diktaş, B. Kabalak, and H. Tüfekçi, “Meckel’s Diverticulitis Associated with Acute Gastroenteritis: A Rare Cause of Ileus”, Journal of Emergency Medicine Case Reports, vol. 4, no. 2, pp. 52–54, 2013.
ISNAD Diktaş, Hüsrev et al. “Meckel’s Diverticulitis Associated With Acute Gastroenteritis: A Rare Cause of Ileus”. Journal of Emergency Medicine Case Reports 4/2 (April 2013), 52-54.
JAMA Diktaş H, Kabalak B, Tüfekçi H. Meckel’s Diverticulitis Associated with Acute Gastroenteritis: A Rare Cause of Ileus. Journal of Emergency Medicine Case Reports. 2013;4:52–54.
MLA Diktaş, Hüsrev et al. “Meckel’s Diverticulitis Associated With Acute Gastroenteritis: A Rare Cause of Ileus”. Journal of Emergency Medicine Case Reports, vol. 4, no. 2, 2013, pp. 52-54.
Vancouver Diktaş H, Kabalak B, Tüfekçi H. Meckel’s Diverticulitis Associated with Acute Gastroenteritis: A Rare Cause of Ileus. Journal of Emergency Medicine Case Reports. 2013;4(2):52-4.