• Humans
• Meckel Diverticulum/diagnosis
• Meckel Diverticulum/surgery
• Meckel Diverticulum/complications
• Capsule Endoscopy/methods
• Tomography, X-Ray Computed

• Meckel’s diverticulum
• abdominal pain
• diverticulitis
• intussusception

• Meckel’s diverticulum
• appendicitis
• case report
• intestinal obstruction
• malrotation
• midgut volvulus

• Case report
• Gastrointestinal bleeding
• Meckel's diverticulum

• Meckel Diverticulum/complications
• Meckel Diverticulum/surgery
• Meckel Diverticulum/diagnostic imaging
• Humans
• Gastrointestinal Hemorrhage/etiology
• Gastrointestinal Hemorrhage/surgery
• Male
• Adult

• Meckel's diverticulum
• foreign body
• perforation
• wood splinter

• Humans
• Male
• Gastrointestinal Hemorrhage/therapy
• Gastrointestinal Hemorrhage/etiology
• Child
• Blood Transfusion/methods
• Emergency Medical Services/methods
• Meckel Diverticulum/complications
• Meckel Diverticulum/diagnosis

• Meckel's diverticulum
• heterotopic pancreas
• infant
• perforation

• Appendicitis in children
• Case report
• Complications
• Diverticular disease
• Intestinal obstruction
• Ligament
• Meckel’s diverticulum
• Mesodiverticular band
• Perforation

• Meckel’s diverticulitis
• computed tomography
• perforation

• Humans
• Meckel Diverticulum/diagnosis
• Meckel Diverticulum/diagnostic imaging
• Abdominal Pain/etiology
• Abdominal Pain/complications
• Diverticulitis/diagnostic imaging
• Diverticulitis/surgery
• Tomography, X-Ray Computed/adverse effects
• Diagnosis, Differential
• Acute Disease

• Meckel’s diverticulum
• appendicitis
• gastrointestinal imaging
• inflammatory bowel disease
• intestinal obstruction
• multimodal imaging

• 32071384 National Natural Science Foundation of China

• Humans
• Male
• Female
• Adult
• Meckel Diverticulum/diagnosis
• Meckel Diverticulum/diagnostic imaging
• Capsule Endoscopy/methods
• Retrospective Studies
• Ulcer/complications
• Abdomen
• Gastrointestinal Hemorrhage/diagnosis

• Axial torsion
• Case report
• Meckel's diverticulum
• Meckel's torsion
• Pediatric surgery

• Case report
• Hernia
• Intestinal obstruction
• Meckel diverticulum

Meckel's diverticulum (MD) is a common congenital anomaly of the digestive tract that affects around 4 % of the population. Although it is relatively common, diagnosis still remains very challenging; it requires an astute clinician with a high clinical index of suspicion to achieve the diagnosis. Once a diagnosis is reached, treatment is almost always surgical. This case report provides evidence of the effectiveness of a new robotic surgical system for resection of MD in the elderly.

61 year old male presented to the emergency room with recurrent hematochezia. After multiple diagnostic techniques, he was finally diagnosed with MD using Meckel's scan. After diagnosis, surgical resection using the Cambridge Medical Robotics (CMR) Versius robotic system was performed, which yielded good results.

This case highlights the use of a new robotic system for the treatment of Meckel's Diverticulum.

Our initial experience with the CMR Versius surgical system in small bowel resection was successful; however, further studies are needed to demonstrate the safety and efficacy of such a system.

•

Meckel's diverticulum can persist in the elderly, thus ruling out the disease based on age is not reasonable.

• Axial torsion
• Gangrene
• Meckel's diverticulum
• Small bowel obstruction
• ‘Case report’

• Case report
• Meckel's diverticulum
• Right lower quadrant abdominal pain

• Meckel’s diverticulum
• acute abdomen
• fish bone
• foreign body
• perforated Meckel’s diverticulum

• Male
• Animals
• Meckel Diverticulum/complications
• Meckel Diverticulum/diagnosis
• Meckel Diverticulum/surgery
• Intestinal Perforation/diagnosis
• Intestinal Perforation/etiology
• Intestinal Perforation/surgery
• Foreign Bodies/complications
• Foreign Bodies/diagnosis
• Abdominal Pain
• Inflammation

• atypical appendicitis
• bowel obstruction
• lower abdominal pain
• meckel’s diverticulum
• strangulation
• volvulus

Background: Meckel’s diverticulum is a common congenital abnormality of the gastrointestinal tract encountered in about 1–3% of the general population. Although most patients remain asymptomatic, a minority will experience serious complications such as acute abdomen, haemorrhage or obstructive ileus. Of all patients presenting with symptoms of obstruction due to Meckel’s diverticulum 7–18% is due to volvulus. Case Report: A 39-year-old male with multiple previous episodes of obstructive ileus presented with an acute abdomen. An exploratory laparotomy was performed in order to reveal the cause of the obstruction. An internal hernia with ileal volvulus and a Meckel’s diverticulum was found, which was later confirmed by histopathological examination. Conclusion: Meckel’s diverticulum is a rare cause of acute abdomen and obstructive ileus which should be considered when the symptoms date back to childhood. The difficulty of preoperative diagnosis dictates the need for exploratory laparoscopy or laparotomy as diagnostic tools.

• case report
• ileum
• internal hernia
• meckel’s diverticulum
• volvulus

• Acute abdomen
• Emergency medicine
• Meckel's diverticulum
• Perforation

• complications
• diagnose
• meckel´s diverticulum
• surgery

Gastrointestinal tract (GIT) perforation is a common medical emergency associated with considerable mortality, ranging from 30 to 50%. Clinical presentation varies: oesophageal perforations can present with acute chest pain, odynophagia and vomiting, gastroduodenal perforations with acute severe abdominal pain, while colonic perforations tend to follow a slower progression course with secondary bacterial peritonitis or localised abscesses. A subset of patients may present with delayed symptoms, abscess mimicking an abdominal mass, or with sepsis.

Direct multidetector computed tomography (MDCT) findings support the diagnosis and localise the perforation site while ancillary findings may suggest underlying conditions that need further investigation following primary repair of ruptured bowel. MDCT findings include extraluminal gas, visible bowel wall discontinuity, extraluminal contrast, bowel wall thickening, abnormal mural enhancement, localised fat stranding and/or free fluid, as well as localised phlegmon or abscess in contained perforations.

The purpose of this article is to review the spectrum of MDCT findings encountered in GIT perforation and emphasise the MDCT and clinical clues suggestive of the underlying aetiology and localisation of perforation site.

• Aetiology
• Emergency
• Gastrointestinal perforation
• Multidetector computed tomography

Meckel’s diverticulum (MD), a congenital abnormality of the gastrointestinal tract, is usually found in the pediatric population younger than two years of age; hence, its incidence in adults is rare. Although MD is mostly clinically silent, in adults, it may present with intestinal obstruction and diverticulitis. The complications of MD include hemorrhage, perforation, enterolith formation, torsion, Littre’s hernia, ulceration and neoplasm. Among these, torsion is one of the rarely reported complications of MD. MD being attached to the ileal mesentery or umbilicus, presence of mesodiverticular band, and the length, breadth and base diameter of the diverticulum contribute as a risk factor for torsion. A similar clinical picture of acute appendicitis must be excluded.

We report a case of a 25-year-old male who presented with signs of intestinal obstruction in whom intraoperative finding of a torted MD with necrotic and twisted base was found upon emergency exploratory laparotomy.

• axial torsion
• diverticular disease
• gangrene
• meckel's diverticulum
• torsion of meckel's diverticulum

•

Acute surgical abdomen has a limited differential in pediatric population.

This is a case report documenting the risk in imaging misinterpretation of a pediatric patient that presented with an acute abdomen. Computed Tomography (CT) demonstrated an inflamed blind ending loop of bowel in the pelvis without an obvious cecal connection. The patient was taken to the operative theater, a normal appendix and perforated Meckel’s diverticulitis were resected. Meckel’s diverticulum is the most common small bowel abnormality and can have complications. We will emphasize that imaging studies in a pediatric patient with Meckel’s diverticulum are easily subject to errors radiologists make. This is such a cautionary and learning tale.

• Meckel's diverticulum
• adults
• complications
• diverticulectomy
• wedge resection