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Surgically inverting an incidentally detected Meckel's diverticulum – Wrong method

INTRODUCTION: Intusussception leading to intestinal obstruction is a known complication of Meckel's diverticulum. Inverting of Meckel's acts as a lead point for intussusception. Causes of inversion are many but surgical inversion leading to intusussception is extremely rare. PRESENTATION O...

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Detalles Bibliográficos
Autores principales: Shah, Ketul, Khiria, Lakhsman, Desai, Premal, Vora, Hasmukh, Bhavsar, Mehendra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4347832/
https://www.ncbi.nlm.nih.gov/pubmed/25560057
http://dx.doi.org/10.1016/j.ijscr.2014.07.009
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author Shah, Ketul
Khiria, Lakhsman
Desai, Premal
Vora, Hasmukh
Bhavsar, Mehendra
author_facet Shah, Ketul
Khiria, Lakhsman
Desai, Premal
Vora, Hasmukh
Bhavsar, Mehendra
author_sort Shah, Ketul
collection PubMed
description INTRODUCTION: Intusussception leading to intestinal obstruction is a known complication of Meckel's diverticulum. Inverting of Meckel's acts as a lead point for intussusception. Causes of inversion are many but surgical inversion leading to intusussception is extremely rare. PRESENTATION OF CASE: We hereby report a case of a 14 year adolescent boy operated previously for open appendicetomy presenting to us with intestinal obstruction who on exploration was found to have an surgically inverted Meckel's diverticulum acting as a lead point for ileo-colic intusussception. DISCUSSION: To the best of our knowledge, surgically inverting any Meckel's diverticulum is never a treatment option even when the diverticulum is incidentally detected. Diverticulectomy or segmental resection is the procedure of choice for Meckel's diverticulum. CONCLUSION: Meckel's divereticulum should never be inverted surgically. Not only it is a wrong method but also increases the risk of complications.
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spelling pubmed-43478322015-03-07 Surgically inverting an incidentally detected Meckel's diverticulum – Wrong method Shah, Ketul Khiria, Lakhsman Desai, Premal Vora, Hasmukh Bhavsar, Mehendra Int J Surg Case Rep Article INTRODUCTION: Intusussception leading to intestinal obstruction is a known complication of Meckel's diverticulum. Inverting of Meckel's acts as a lead point for intussusception. Causes of inversion are many but surgical inversion leading to intusussception is extremely rare. PRESENTATION OF CASE: We hereby report a case of a 14 year adolescent boy operated previously for open appendicetomy presenting to us with intestinal obstruction who on exploration was found to have an surgically inverted Meckel's diverticulum acting as a lead point for ileo-colic intusussception. DISCUSSION: To the best of our knowledge, surgically inverting any Meckel's diverticulum is never a treatment option even when the diverticulum is incidentally detected. Diverticulectomy or segmental resection is the procedure of choice for Meckel's diverticulum. CONCLUSION: Meckel's divereticulum should never be inverted surgically. Not only it is a wrong method but also increases the risk of complications. Elsevier 2014-12-11 /pmc/articles/PMC4347832/ /pubmed/25560057 http://dx.doi.org/10.1016/j.ijscr.2014.07.009 Text en © 2014 The Authors http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).
spellingShingle Article
Shah, Ketul
Khiria, Lakhsman
Desai, Premal
Vora, Hasmukh
Bhavsar, Mehendra
Surgically inverting an incidentally detected Meckel's diverticulum – Wrong method
title Surgically inverting an incidentally detected Meckel's diverticulum – Wrong method
title_full Surgically inverting an incidentally detected Meckel's diverticulum – Wrong method
title_fullStr Surgically inverting an incidentally detected Meckel's diverticulum – Wrong method
title_full_unstemmed Surgically inverting an incidentally detected Meckel's diverticulum – Wrong method
title_short Surgically inverting an incidentally detected Meckel's diverticulum – Wrong method
title_sort surgically inverting an incidentally detected meckel's diverticulum – wrong method
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4347832/
https://www.ncbi.nlm.nih.gov/pubmed/25560057
http://dx.doi.org/10.1016/j.ijscr.2014.07.009
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