Mohammad Haleem Taj, Din Mohammad, Shoaib Ahmed Qureshi.
Management of symptomatic Meckel`s Diverticulum.
J Surg Pak Jan ;8(3):15-8.

The objective of this study was to evaluate the management of symptomatic Meckel`s diverticulum. This study was conducted between November, 1999 to November, 2001 at three surgical and one pediatric surgical unit in Sandeman (Prow) Hospital Quetta. A total of 1995 patients were operated with provisional diagnosis of acute abdomen out of which 20 cases were of Meckel`s diverticulum. In most of the patients resection of Meckel`s diverticulum or resection of gut with Meckel`s diverticulum was done and anastomosis performed. The mean age was 16.05 years with male: female ratio 9:1. Abdominal pain was the most common symptom (75%). Operative findings were volvulus around a band between Meckel`s diverticulum and umbilicus in four (20%), omphalodiverticular fibrous band causing kinking of the adjacent gut in two (10%), ileocolic intussusception due to Meckel`s diverticulum in two (10%), volvulus around a band with gangrene of gut in two (10%), mesodiverticular band entrapping a small bowel loop in one (5%), inflamed perforated Meckel`s diverticulum causing peritonitis and intestinal obstruction in one each (5%), inflamed thick edematous Meckel`s diverticulum in six (30%), patent vitellointestinal duct with Meckel`s diverticulum in one (5%) and bleeding Meckel`s diverticulum in one (5%). The patients who presented with acute abdomen, no preoperative diagnosis regarding involvement of diseased Meckel`s diverticulum can be reached with most of the available modalities of investigation in this region. In children presenting with acute abdomen Meckel`s diverticulum must be kept in mind.

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