COMPLICATED MECKELíS DIVERTICULUM [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2003; 9(4): 246-249

COMPLICATED MECKELíS DIVERTICULUM

Adem Akcakaya1, Orhan Alimoglu1, Orhan Veli Ozkan1, Mustafa Sahin1
S.S.K. Vakżf Gureba Teaching Hospital, 1st Surgical Clinic, Istanbul, Turkey

Background: In this study we present our experience in the surgical treatment of complicated Meckelís diverticulum.
Methods: The data of eight patients who underwent surgery due to complications of Meckelís diverticulum between 1994 Ė 2001 was retrospectively assessed.
Results: There were six males and two females with a mean age of 31 years (range 13 to 65). Preoperative diagnoses were acute surgical abdomen in six and incarcerated inguinal hernias in two patients. Intraoperative diagnoses were as follows; Littreís hernia in two, diverticulitis in two, perforation of the diverticulum in one and intestinal obstruction in three patients (there was a band extending from diverticulum to the umblicus in two patients and a mesodiverticular band in the remaining one). While diverticulectomies were performed in five patients, three had small bowel resections. The mean diameter of the diverticulas was 2.3 cm (range 2 to 4) and the mean lenght was 3.5 cm (range 3 to 8). Postoperative intestinal obstruction was observed in one patient who had underwent diverticulectomy and subsequently a small bowel resection was performed.
Conclusion: Being aware of the complications of the Meckelís diverticulum is necessary in correct timing of the surgery and selecting the proper incision in patients with acute abdomen. This will result in decreased morbidity.

Keywords: Meckelís diverticulum, complication, treatment.


KOMPL›KASYONLU MECKEL D›VERT›K‹LLER›

Adem Akcakaya1, Orhan Alimoglu1, Orhan Veli Ozkan1, Mustafa Sahin1
S.S.K. Vakżf Gureba Teaching Hospital, 1st Surgical Clinic, Istanbul, Turkey



Adem Akcakaya, Orhan Alimoglu, Orhan Veli Ozkan, Mustafa Sahin. COMPLICATED MECKELíS DIVERTICULUM. Ulus Travma Acil Cerrahi Derg. 2003; 9(4): 246-249


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