Colorectal cancer

Variety (cybernetics)

Surgery

Single Center

Meckel's diverticulum

Center (category theory)

Peritonitis

Computer science

Hematochezia

Lower gastrointestinal bleeding

Diverticulum (mollusc)

Segmental resection

Complication

Colonoscopy

Laparotomy

Anastomosis

Internal medicine

Artificial intelligence

Crystallography

Medicine

Chemistry

Gastrointestinal bleeding

Resection

General surgery

Cancer

Exploratory laparotomy

Bowel obstruction

Gastroenterology Research and Practice

Background. The study was to analyze the clinical manifestation variety and management choices of symptomatic Meckel’s diverticulum in children. Methods. From July 2008 to October 2018, 28 cases of Meckel’s diverticulum with a variety of complications were admitted to our hospital. The clinical data included age, gender, symptoms and signs, investigations, intraoperative and pathological findings, and outcome. Results. The ratio of males to females was 2.5 : 1. The diagnoses were made by 99mTc-pertechnetate scan (in 5 cases) and by exploratory laparotomy (in 2 cases). The initial diagnosis in the other cases includes intussusception (in 4 cases), acute appendicitis (in 5 cases), intestinal obstruction (unknown origin), peritonitis, and even shock in 12 cases. Laparoscopic surgery was performed in 8 cases; 18 cases underwent open surgery. Excision of partial bowel segment with diverticulum and primary anastomosis was done in 22 cases and wedge resection of diverticulum in 4 cases. Two other cases received nonoperative therapy and went to other hospitals to receive surgical management. Ectopic gastric mucosa in the diverticulum was found in 9 cases, including 6 cases with lower gastrointestinal bleeding. Conclusion. The clinical characteristics of Meckel’s diverticulum varied. Children with hematochezia, peritonitis, and intestinal obstruction without history of prior abdominal operation should be suspected with this disease until proven otherwise. Hematochezia is often associated with ectopic gastric mucosa in the diverticulum. Laparoscopic surgery should be one of the choices for the diagnosis and treatment of Meckel’s diverticulum with complications.

The Clinical Manifestation Variety and Management Choice of Meckel’s Diverticulum with Complication: A Single Center Experience