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Case Reports
. 2006 Oct;49(5):353-7.

Complications of Meckel's diverticula in adults

Jaymi Dumper  1 , Shawn Mackenzie, Philip Mitchell, Francis Sutherland, May Lynn Quan, Daphne Mew
Affiliations
Case Reports

Complications of Meckel's diverticula in adults

Jaymi Dumper et al. Can J Surg. 2006 Oct.
No abstract available

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Figures

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FIG. 1. CT abdomen/pelvis enhanced with oral and intravenous contrast. Target lesion (arrow) suggests terminal ileum wall thickening, while mesentery of the distal small bowel demonstrates mesenteric stranding.
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FIG. 2. A resection of distal small bowel. Approximately 5.0 cm from the proximal margin (34.0 cm from the terminal ileum) is an out-pouching of the small bowel that is occluded in the neck area by a fecalith measuring 1.5 cm. Distal to the fecalith (not shown) is a thick walled cavity lined with edematous bowel wall and firm fatty tissue.
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FIG. 3. Meckel's scan. A focus of abnormal radiotracer uptake is demonstrated in the lower abdomen several centimetres above the dome of the bladder. In this clinical situation the appearance is consistent with a Meckel's diverticulum containing ectopic gastric mucosa.
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FIG. 4. Small bowel mucosa with hemorrhagic ulceration (H) and a feeder vessel (V).
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FIG. 5. Upright abdominal x-ray showing dilated loops of small bowel with multiple air fluid levels.
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FIG. 6. Intussuscepted portion of small bowel exposing an inverted Meckel's diverticulum (3.3 cm in length). Projecting from the tip is a firm hemorrhagic mass with ulcerations. Sectioning of the mass reveals a lipoma (3.9 × 1.5 × 1.9 cm).
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FIG. 7. Normal histology of the Meckel's diverticula, with small foci of carcinoid tumour. Normal mucosa (M) and normal submucosa (S), separated by muscularis mucosa (MM). Several small foci (< 0.2 cm each) of carcinoid tumour (C) are identified at the interface of the lamina propria and sub mucosa. The tumour does not invade the luminal surface or extend into the muscularis propria.
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References

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    1. Stone PA, Hofeldt MJ, Campbell JE, et al. Meckel diverticulum: ten-year experience in adults. South Med J 2004;97:1038-41. - PubMed
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    1. Yahchouchy EK, Marano AF, Etienne JCF, et al. Meckel's diverticulum. J Am Coll Surg 2001;192:658-62. - PubMed

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