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2018

ANUÁRIO DO HOSPITAL DONA ESTEFÂNIA
REPOSITÓRIO MÉDICO CIENTÍFICO

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TORSION AND INFLAMMATION OF MECKEL'S DIVERTICULUM: RARE CAUSE OF ACUTE ABDOMINAL PAIN

Sofia Morão, Maria Knoblich, Fátima Alves, Rui Alves, João Pascoal

Pediatric Surgery Department, Hospital Dona Estefânia, Centro Hospitalar Lisboa Central, Portugal

- Artigo publicado no Journal of Pediatric Surgery Case Reports a 26 de Maio de 2017

Meckel's diverticulum is a remnant of the embryologic vitelline duct. It was named after its anatomical and embryological description, in the early 19th century, by Johann Meckel. It is known as a true diverticulum of the small bowel and is typically estimated to be present in 2% of the general population, with only a very small percentage being symptomatic. In this report, we present a 14-year-old boy with complaints of abdominal pain, fever, nausea, vomiting and diarrhea. During physical examination we observed peritoneal irritation and raised inflammatory markers. Surgical exploration revealed torsion and inflammation of a large Meckel's diverticulum with a gangrenous area. In order to ensure the removal of etopic tissue, if present, segmental bowel resection with primary anastomosis was performed.
Histopathological analysis did not find ectopic tissue. The operative and postoperative courses were uneventful. Meckel's diverticulum is an important differential diagnosis in acute abdominal pain in children.

Palavras-chave: Meckel’s diverticulitis; torsion; children