Abstract

GARCIA MENDEZ, Luis Rolando; RODRIGUEZ GARCIA, Luismer  and  DIAZ OLIVERA, Greysi. Meckel’s diverticulum. Apropos of a case. Rev.Med.Electrón. [online]. 2019, vol.41, n.1, pp. 173-179. ISSN 1684-1824.

Meckel’s diverticulum is an evagination resembling a glove finger of the ileum anti-mesenteric edge, formed by layers due to an embryologic persistence of the proximal end of omphalo-mesenteric duct. It forms a sac like a tube that may extend up to the umbilical region; its inflammation (diverticulitis) has clinical characteristics similar to the acute appendicitis ones, making its pre-surgery diagnosis very unusual. Due to its frequency, doctors often do not take this disease into account, and it is definitely diagnosed during the trans-operative. The case was presented due to its infrequency, bringing knowledge on the theme to medical community. A patient aged 68 years assisted the hospital with a colic-like pain, tachycardia and fiver of 38.5oC after 24 hours of evolution. He refers that the pain became fixed in the right iliac fosse and got more intensity. The decision was entering him for surgical treatment. Appendectomy, resection and anastomosis were carried out in the area of the diverticulum. The received biopsy informed Meckel’s diverticulum.

Keywords : Meckel’s diverticulum; surgery; abdominal hernia.

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