Abstract:

The preoperative diagnosis of Meckel's diverticulum in adults is uncommon, and even more infrequent is the presentation of a bleeding Meckel's diverticulum after childhood. The case of a 22-year old, otherwise healthy male is presented here. The diagnosis was made by barium examination of small bowel and confirmed by diagnostic laparoscopy, followed by complete laparoscopic resection using an Endo-GIA Stapler (United States Surgical Corp., Norwalk, Conn.]. Histopathological examination of the specimen showed inflammed ileal mucosa with hemorrhages in several foci. The literature of Meckel's diverticula and its complications are reviewed here. Based on data from the reviewed literature and our own experience, we suggest that laparoscopic resection is the treatment of choice for Meckel's diverticulum, if it is diagnosed preoperatively or during diagnostic laparoscopy. The procedure allows for a smooth postoperative course, early discharge from the hospital, and arapid return to normal activity.

Authors:

István Gal, M.D., Ph.D.; István Kovács, M.D.; Lajos Szabó, M.D. - Bugát Pál University Teaching Hospital, Gyöngyös, Hungary; Zoltán Szabó, Ph.D., F.I.C.S. - Microsurgery and Operative Endoscopy Training Institute, San Francisco, Calif.

For Direct IP Access please click this link