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A Meckel's diverticulum, a true congenital diverticulum, is a slight bulge in the small intestine present at birth and a vestigial remnant of the vitelline duct.It is the most common malformation of the gastrointestinal tract and is present in approximately 2% of the population, [1] with males more frequently experiencing symptoms.
It occurs during the first trimester as the fetal gut undergoes a complex series of growth and development. Malrotation can lead to a dangerous complication called volvulus, in which cases emergency surgery is indicated. [1] Malrotation can refer to a spectrum of abnormal intestinal positioning, often including: [citation needed]
About two percent of fetuses exhibit a type of vitelline fistula characterized by persistence of the proximal part of the vitelline duct as a diverticulum protruding from the small intestine, Meckel's diverticulum, which is typically situated within two feet of the ileocecal junction and may be attached by a fibrous cord to the abdominal wall ...
Causes of intussusception are not clearly established or understood. About 90% of cases of intussusception in children arise from an unknown cause. [1] They can include infections, anatomical factors, and altered motility. [citation needed] Meckel's diverticulum; Polyp; Duplication; Appendix; Hyperplasia of Peyer's patches; Idiopathic
A jejunal diverticulum is a congenital lesion and may be a source of bacterial overgrowth. It may also perforate or result in abscesses. A Killian-Jamieson diverticulum is very similar to a pharyngeal esophageal diverticulum, differing in the fact that the pouching is between the oblique and transverse fibers of the cricopharyngeus muscle. [7]
Infection of a diverticulum often occurs as a result of stool collecting in a diverticulum. Diverticulitis is defined as diverticular disease with signs and symptoms of diverticular inflammation. Clinical features of acute diverticulitis include constant abdominal pain, localized abdominal tenderness in the left lower quadrant of the abdomen ...
A Littre hernia is a very rare type of hernia which occurs when a Meckel's diverticulum protrudes through a defect in the abdominal wall. [1] It is named after French physician Alexis de Littre. [2] This hernia may occur in a number of anatomical locations, typically in the inguinal region (50%), umbilicus (20%) or femoral canal (20%).
Three primary methods can be utilized: open surgery, laparoscopy, or robotic techniques. Fixing an inguinal hernia using laparoscopy causes less pain, speeds up recovery, and shows similar low rates of the hernia coming back compared to the traditional open repair method. However, open surgery can be done sometimes without general anesthesia.