de la Torre-León G, López-Hernández P

Language: Spanish
References: 10
Page: 112-116
PDF size: 288.83 Kb.

ABSTRACT

Background: Meckel’s diverticulum is the most frequent congenital abnormality of the gastrointestinal tract; its clinical presentation is variable. It must be taken into account in cases of acute abdominal pain. The diagnosis is commonly incidental, during a laparotomy due to a different clinical suspicion, because signs and symptoms of its complications often mimic a variety of acute abdominal pathologies. Clinical case: Thirteen-year-old female patient with a history of three previous episodes of diffuse conteabdominal pain, the last one, a month before her admission; she was treated for irritable bowel. She arrived with acute abdominal pain; clinical and radiological signs of intestinal occlusion. A surgical intervention was decided, revealing the presence of an internal hernia by diverticulum 70 cm from the ileocecal valve, which caused entrapment of the small intestine. The histological report described the presence of a Meckel’s diverticulum without inflammatory process. Conclusion: Meckel’s diverticulum is a congenital anomaly due to an incomplete obliteration of the omphalomesenteric duct. Its symptomatology is variable, and it is caused by its complications, like ulceration, bleeding, diverticulitis, intestinal obstruction. Bowel obstruction secondary to Meckel’s diverticulum causing an internal hernia is not common, especially in pediatric patients; its risk of complication is high if there is not an early diagnosis.

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