[Complicated Meckel's diverticulum in adult pathology].
Meckel's diverticulum is the most prevalent abnormality of the gastrointestinal tract seen in approximately 2% of the population. Diagnosing complicated diverticulum is difficult, for its capacity to mime multiple disorders such as appendicitis, ulcer disease, enterocolitis, Chron disease, sigmoid diverticulitis, cholecystitis, and it should be considered in all patients with unexplained chronic abdominal pain, nausea, vomiting, gastrointestinal bleeding, unexpected cause of intestinal obstruction or acute abdomen. Herewith we provide an illustrative presentation, emphasizing the difficulties in preoperative diagnosis of complicated Meckel's diverticulum and underlining the nonspecific nature of the subjective and objective findings. Both cases were admitted to our clinic with acute abdomen diagnoses--first case as a intestinal obstruction and in second case was acute appendicitis. Laparatomy ascertain that the cause of symptoms was the complicated Meckel's diverticulum.
Pariza
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Spitalul Universitar de Urgenţă, Bucureşti. george_pariza@yahoo.com
Mavrodin
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CI
Ciurea
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D000006:Abdomen, Acute / Q000175:diagnosis / Q000209:etiology; D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000368:Aged; D001064:Appendicitis / Q000175:diagnosis; D003937:Diagnosis, Differential; D004238:Diverticulitis / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D009325:Nausea / Q000209:etiology; D016896:Treatment Outcome; D014839:Vomiting / Q000209:etiology