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. 2006 Oct;99(10):501-5.
doi: 10.1177/014107680609901011.

Meckel's diverticulum: a systematic review

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Meckel's diverticulum: a systematic review

Jayesh Sagar et al. J R Soc Med. 2006 Oct.

Erratum in

  • J R Soc Med. 2007 Feb;100(2):69

Abstract

Meckel's diverticulum is the most common congenital malformation of gastrointestinal tract. It can cause complications in the form of ulceration, haemorrhage, intussusception, intestinal obstruction, perforation and, very rarely, vesicodiverticular fistulae and tumours. These complications, especially bleeding, are more common in the paediatric age group than in adults; however it is not uncommon to miss the diagnosis of Meckel's diverticulum in adults. Here, we reviewed the literature regarding the complications of this forgotten clinical entity in adults with potential diagnostic difficulties and management strategies.

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Figures

Figure 1
Figure 1
Intraoperative photograph of an 18-year-old male patient who presented with bleeding per rectum. The figure shows long Meckel's diverticulum on anti-mesenteric border of ileum with its mesentery [in colour online]
Figure 2
Figure 2
Resected specimen of Meckel's diverticulum with part of small bowel in the same patient [in colour online]
Figure 3
Figure 3
Technetium 99m pertechnate scan at 16 and 17 min in the same patient [in colour online]
Figure 4
Figure 4
Technetium 99m pertechnate scan-postmicturation film in the same patient [in colour online]
Figure 5
Figure 5
Heterotopic ectopic gastric fundic mucosa in Meckel's diverticulum [in colour online]
Figure 6
Figure 6
Heterotopic ectopic pancreatic acinar cells and islets in Meckel's diverticulum [in colour online]

References

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