Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012;9(3):243-7.
doi: 10.7150/ijms.4170. Epub 2012 May 4.

Laparoscopic management of perforated Meckel's diverticulum in adults

Yinlu Ding  1 , Yong Zhou, Zhipeng Ji, Jianliang Zhang, Qisan Wang
Affiliations

Laparoscopic management of perforated Meckel's diverticulum in adults

Yinlu Ding et al. Int J Med Sci. 2012.

Abstract

Objective: To determine the role of laparoscopy in diagnosis and surgical treatment of perforated Meckel's diverticulum (MD) in adults.

Methods: Between July 2003 and July 2011, fifteen patients were seen with perforated MD. Eleven were male and four were female. The median age was 38 years (range, 21-68). All patients presented with a sudden onset of pain. Among them 9 had a past medical history of bloody stools and /or chronic recurrent abdominal pain. 2 were preoperatively diagnosed with perforated MD confirmly and 4 suspiciously, 9 with perforated acute appendicitis. All 15 patients underwent exploratory laparoscopy.

Results: 4 patients with broad-base(≧ 2 cm) and 2 patients with narrow-base(<2 cm) whose perforative site was near the base underwent laparoscopically assisted extracorporal bowel segment resection, the other 9 patients with narrow-base(<2 cm) underwent laparoscopically intraabdominal wedge resection of the MD. No intraoperative or postoperative complications occurred. The median hospital stay was 4 days (range, 2-7 days). The histopathologic studies showed heterotopic gastric mucosa (HGM) in 10 cases (66.7%). All patients recovered uneventfully.

Conclusion: To patients with sudden abdomen pain mimic acute appendicitis accompanied by a past medical history of bloody stools and/or chronic recurrent abdominal pain, proferated MD should be kept in mind as a differential diagnosis. Laparoscopy is a safe and effective surgical modality for diagnosis of proferated MD and has a therapeutic role that results in an excellent cosmetic result.

Keywords: Laparoscopy; Meckel's diverticulum; Perforation.

PubMed Disclaimer

Conflict of interest statement

Competing Interests: The authors have declared that no competing interest exists.

Figures

Fig 1
Fig 1
perforated MD with narrow-base(<2 cm)
Fig 2
Fig 2
perforated MD with broad-base (≧2 cm )
Fig 3
Fig 3
Laparoscopic view of a Meckel's diverticulum with a peroration near the base(↘ site of peroration)
See this image and copyright information in PMC

References

    1. Anderson DJ. Carcinoid tumor in Meckel's diverticulum: laparoscopic treatment and review of the literature. J Am Osteopath Assoc. 2000;100(7):432–434. - PubMed
    1. Mackey WC, Dineen P. A fifty-year experience with Meckel's diverticulum. Surg Gynecol Obstet. 1983;156(1):54–56. - PubMed
    1. Soltero MJ, Bill AH. The natural history of Meckel's diverticulum and its relation to incidental removal. A study of 202 cases of diseased Meckel's diverticulum found in King County,Washington, over a fifteen year period. Am J Surg. 1976;132(2):168–173. - PubMed
    1. Leijonmarck CE, Bonman-Sandelin K, Frisell J. et al. Meckel's diverticulum in the adult. Br J Surg. 1986;73(2):146–149. - PubMed
    1. Yamaguchi M, Takeuchi S, Awazu S. Meckel's diverticulum investigation of 600 patients in the Japanese literature. Am J Surg. 1978;136(2):247–249. - PubMed

Publication types