title: [Meckel's diverticulum duplication. Case report and literature review].
abstract: BACKGROUND
  Meckel's diverticulum is the most frequent congenital abnormality of the gastrointestinal tract. Preoperative diagnosis is difficult due to its variable clinical presentation that can simulate several causes of gastrointestinal bleeding or abdominal pain.
  
  
  METHODS
  We present the case of a 61-year-old female patient with multiple abdominal surgeries who developed intestinal occlusion during several admissions beginning 8 months earlier. She was treated with conservative measures. During her last admission, she developed dehydration, persistent abdominal pain and bowel dilation with failure to respond to conservative treatment. Surgical intervention was decided upon, ruling out adhesions and revealing the presence of two diverticular defects at 40 and 70 cm from the ileocecal valve with torsion. Histological report described gastric heterotrophic mucosa and inflammatory hemorrhagic process.
  
  
  CONCLUSIONS
  Presence of duplicated Meckel's diverticulum is a rare finding with only nine reports in the international literature to date. Diagnosis is frequently made during surgery. Treatment for symptomatic diverticulum is surgical, whereas management for asymptomatic diverticulum is controversial and relies on the surgeon's decision and clinical characteristics of the patient.
authors.affiliation: Cirugía general, angiologí, cirugía vascular y endovascular, Centro Médico Nacional 20 de Noviembre, ISSTE, Mexico DF, Mexico. vascsurg78@gmail.com.
authors.forename: Juan Salvador
authors.initials: JS
authors.lastname: Blando-Ramírez
authors.affiliation: Cirugía general, angiologí, cirugía vascular y endovascular, Centro Médico Nacional 20 de Noviembre, ISSTE, Mexico DF, Mexico.
authors.forename: Jesús
authors.initials: J
authors.lastname: Ocádiz-Carrasco
authors.affiliation: Cirugía endoscópica, Hospital ABC, México DF, Mexico.
authors.forename: Ruth Alicia
authors.initials: RA
authors.lastname: Gutiérrez-Padilla
authors.affiliation: 3 Medicina interna, Nuevo Sanatorio Durango, México DF, Mexico.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Vicencio-Tovar
authors.affiliation: Cirugía general, Hospital Ángeles Mocel, México DF, Mexico.
authors.forename: José Abenamar
authors.initials: JA
authors.lastname: Ricardez-García
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D003681:Dehydration / Q000209:etiology; D003937:Diagnosis, Differential; D004238:Diverticulitis / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007082:Ileum / Q000098:blood supply; D007415:Intestinal Obstruction / Q000209:etiology; D007511:Ischemia / Q000209:etiology; D008467:Meckel Diverticulum / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D010437:Peptic Ulcer / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology / Q000473:pathology; D012008:Recurrence; D000267:Tissue Adhesions / Q000175:diagnosis
keywords: Diverticulum, Meckel, duplication; divertículo, Meckel, duplicación