2016, Number 1
Rev Mex Cir Endoscop 2016; 17 (1)
Meckel’s diverticulum in pregnancy, laparoscopic resolution: a case report and literature review
Ramírez CG, De la Peña MS, Ramírez SCO, Contreras TG
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Language: Spanish
References: 10
Page: 47-50
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ABSTRACT
Background: The Meckel diverticulum refers to an imcomplete closing of the omphalomesenteric conduct generally speaking, it is located at 80 cm of the ileocecal valve, in the anti-meseric border. Its main incident happens to infants. In laparoscopy and pregnancy, there is a hyper coagulability, so there will be insistence on the use of pneumatic compression. It is also recommended a low pressure in the trans operative pneumoperitoneum. Clinical case: 26 year-old female, with 10 weeks of pregnancy, presents abdominal pain, which has evolved in the last two days, also presenting food nausea and vomiting; epigastric beginning and with migration to right iliac pit. She also presents leukocytosis. The ultrasound shows free liquid in cavity. The diagnosis is appendicitis; she is taken to laparoscopy, finding an invaginated diverticulum and an ileon secondary obstruction. Laparoscopic diverticulectomy and appendectomy are done; resulting in a correct evolution and obtaining a product without difficulties. Conclusion: Meckel diverticulum is the most frequent cause for congenital anomalies in gastrointestinal tract, which affects 2% of the population. It is presented both in men and women, and generally it is asymptomatic. The diagnosis of the complication in this pathology is usually done during the surgical act, with a low maternal and fetal morbidity and mortality.REFERENCES