• Congenital disorders
• Infant health
• Paediatric Surgery

• Humans
• Meckel Diverticulum/complications
• Meckel Diverticulum/surgery
• Meckel Diverticulum/diagnosis
• Meckel Diverticulum/diagnostic imaging
• Male
• Hernia, Inguinal/complications
• Hernia, Inguinal/diagnosis
• Hernia, Inguinal/surgery
• Hernia, Inguinal/diagnostic imaging
• Child, Preschool
• Infant
• Herniorrhaphy/methods

• Internal hernia
• Meckel's diverticulum
• Multidetector computed tomography
• Small bowel obstruction

• child
• ileal resection
• laparoscopy
• littre’s hernia
• meckel’s diverticulum

• case report
• laparoscopic surgery
• meckel’s diverticulum
• mesodiverticular band
• small bowel obstruction

• Humans
• Meckel Diverticulum/surgery
• Meckel Diverticulum/complications
• Meckel Diverticulum/diagnosis
• Adult
• Male
• Laparoscopy/methods
• Intestinal Obstruction/etiology
• Intestinal Obstruction/surgery
• Intestine, Small/surgery
• Tomography, X-Ray Computed

• Meckel's diverticulum
• Pediatric gastrointestinal bleeding
• SPECT/CT
• Tc-99m pertechnetate scintigraphy

• Humans
• Abdomen, Acute/diagnostic imaging
• Child
• Diagnosis, Differential
• Tomography, X-Ray Computed/methods
• Child, Preschool

• Meckel’s diverticulum
• Tc-99m pertechnetate
• ectopic gastric mucosa
• omphalo-mesenteric duct remnant

• Meckel diverticulum
• asymptomatic meckel
• incidental meckel
• resection
• surgery

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

• Acute abdomen
• Bowel obstruction
• Meckel's diverticulum
• Omphalomesenteric duct
• Patent vitellointestinal duct
• Urachal remnants
• Vitelline duct

• 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

• Adult male
• Bleeding
• Meckel's diverticulum
• Meckel's scan
• Unusual presentation

• Case report
• Diverticulectomy
• Littre's hernia
• Meckel's diverticulum
• Segmental resection

• Meckel's diverticulum
• Pediatric small bowel obstruction
• Phytobezoar
• Point of care ultrasound (PoCUS)

• Children
• Gastrointestinal bleeding
• Meckel diverticulum
• Pitfalls
• Scintigraphy
• Technetium-99m pertechnetate

• Child
• Humans
• Meckel Diverticulum/diagnostic imaging
• Tissue Distribution
• Radiopharmaceuticals
• Radionuclide Imaging
• Gastrointestinal Hemorrhage/diagnostic imaging
• Musculoskeletal Diseases
• Sodium Pertechnetate Tc 99m

• Humans
• Child
• Pelvic Pain/diagnostic imaging
• Ultrasonography/methods
• Pelvis
• Urogenital System

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.

Meckel's diverticulum is the commonest congenital anomaly of the gastrointestinal tract in humans that is commonly encountered during surgical practice as the cause of the patient's presentation or as an incidental finding during other unrelated procedures. Most clinical symptoms are caused due to its complications.

The mean age of the involved patients was 24.79 years with slight male predominance, 62.9% males compared to 37.1% females. The mean length of the diverticulum was 55.21 cm. The most common emergency presentation was right lower quadrant abdominal pain in 31% of the patients, intestinal obstruction in 28.6%, acute lower abdominal pain and guarding and acute abdomen in 18.6% and 15.7% of patients, respectively, bleeding per rectum in 2.9%, acute right upper quadrant abdominal pain in 1.4%, and obstructed paraumbilical hernia containing the diverticulum in one patient. Perforation of the Meckel's diverticulum was reported in 18.6%. Histopathological examination showed acute inflammation in the wall of the diverticulum in 37.1%, lymphoid hyperplasia in 24.3%, hemorrhagic necrosis in 22.9%, and chronic inflammation in 8.6%. Ectopic mucosa was detected in 50% of the cases, gastric mucosa was detected in 42.86%, ectopic pancreatic mucosa was detected in 5.71%, and both gastric and pancreatic types in 1.43%.

Long diverticula are more liable to develop complications. At surgery, inspection and palpation of the wall of the diverticulum must be done for any evidence of inflammation, necrosis, perforation, or abnormal thickening of the walls of the diverticulum. Resection of the segment of the bowel that contains the diverticulum with primary anastomosis is preferable to other procedures due to the risk of leaving behind an abnormal heterotopic mucosa.

We describe a case of an inverted Meckel's diverticulum presenting as an intraluminal subepithelial lesion on intraoperative enteroscopy. A 53-year-old woman presented with chronic iron deficiency anemia unresponsive to escalating iron supplementation. After equivocal upper and lower endoscopy and negative cross-sectional imaging, capsule endoscopy suggested a submucosal mass lesion in the proximal ileum. Antegrade double-balloon enteroscopy was unsuccessful in reaching the lesion. A large pedunculated, submucosal-appearing lesion was finally identified on intraoperative enteroscopy. The mass was surgically resected, and final pathology confirmed an inverted Meckel's diverticulum.

Bleeding per rectum in children can be seen in congenital as well as acquired conditions that may require medical or surgical management. The present review article is aimed to discuss the imaging findings of some common and uncommon causes of bleeding per rectum in children.

• Bleeding
• Per rectum
• Children
• Imaging
• Congenital

Bleeding per rectum in children can be seen in congenital as well as acquired conditions that may require medical or surgical management. The present review article is aimed to discuss the imaging findings of some common and uncommon causes of bleeding per rectum in children.

• Bleeding
• Per rectum
• Children
• Imaging
• Congenital

• Meckel’s diverticulum (MD)
• diverticulum
• gastrointestinal hemorrhage
• intestinal obstruction
• magnetic resonance imaging (MRI)

Meckel's diverticulum (MD) is the most common congenital abnormality of the gastrointestinal tract. Intestinal occlusion due to MD is a commonly observed consequence of intussusception or volvulus. Here, we report a case of an 11-year-old boy who presented to the emergency department with acute abdominal pain, bilious vomiting, and abdominal rebound tenderness. Computed tomography scan concluded a diagnosis of intestinal occlusion with no apparent cause. The patient was submitted to diagnostic laparoscopy, and mechanical occlusion by the permeable Meckel with double base was identified. A diverticulectomy by staplers was performed, and occlusion was alleviated. MD is a rare disease (for only 0.3–2.9% of the general population), and only 4.2 to 9% of patients diagnosed with MD have associated complications. MD can be a large base or a narrow base, with a mesodiverticular band but the diverticulum is usually a blind recess. In our case, the tube connected two intestinal segments. To the best of our knowledge, we have reported the first case of an MD-like permeable tube with a double basis.

• Meckel's diverticulum
• intestinal obstruction
• laparoscopy
• minimal invasive surgery
• omphalomesenteric duct

• MRI
• abdominal pain
• appendicitis
• pyelonephritis
• torsion

Littré’s hernia (LH) is a rare clinical entity defined by the presence of Meckel’s diverticulum (MD) within a hernial sac. Although MD is the most common congenital abnormality of the intestinal tract, most of its cases remain asymptomatic. It may, however, manifest itself in the form of multiple complications. One of its rare complications is LH, which is reported occurring in a mere 1% of all MD cases. The anamneses of LH are like any other hernia containing the gut, making its preoperative diagnosis unlikely. We present herein a case of a 16-year-old boy with an incarcerated LH at the inguinal region, which was successfully treated by wedge resection of the diverticulum followed by hernia repair.

• littre's hernia
• meckel's diverticulum
• obstruction
• strangulation

Meckel diverticulum (MD), caused by an obliteration defect of the omphalomesenteric duct, is one of the most common congenital anomalies of small intestines. The objective of this study was to review surgical outcomes of MD and evaluate the feasibility of minimally invasive surgery (MIS) in MD.

We performed a retrospective analysis of the medical records of patients who underwent diverticulectomy for MD at 6 Hallym University-affiliated hospitals between January 2008 and December 2017. All patients underwent either open surgery or MIS. Patients who underwent MIS were subdivided into laparoscopic only diverticulectomy (LOD) or laparoscopic-assisted diverticulectomy (LAD).

Of 64 patients, 21 underwent open surgery and 43 underwent MIS. Time to flatus, time to soft food intake, and length of hospital stay were shorter in the MIS group than in the open surgery group (P = 0.047, P = 0.005, and P = 0.015, respectively). Among patients who underwent MIS, the time to flatus and time to soft food intake were longer in the LAD group than in the LOD group (0.3 and 0.9 days, respectively). Multivariate analysis showed that old age and preoperative ileus were independent predictors of complications (P = 0.030 and P = 0.013, respectively). Operation type (open surgery, LOD, or LAD) was not associated with complications.

The present study showed that MIS is associated with quicker recovery without increasing complications. Therefore, MIS may be a safe alternative to open surgery for MD. An old age and preoperative ileus were associated with a risk of postoperative complications.

• Laparoscopic surgery
• Laparoscopy
• Meckel diverticulum

In recent years, the diagnosis and treatment of gastrointestinal stromal tumors (GISTs) of the small intestine have been a hot topic due to their rarity and non-specific clinical manifestations. With the development of gene and imaging technology, surgery, and molecular targeted drugs, the diagnosis and treatment of GISTs have achieved great success. For a long time, radical resection was prioritized to treat GISTs of the small intestine. At present, preoperative tumor staging is a novel treatment for unresectable malignant tumors. In addition, karyokinesis exponent is the sole independent predictor of progression-free survival of GISTs. The DNA, miRNA, and protein of exosomes have also been found to be biomarkers with prognostic implications. The research on the treatment of GISTs has become a focus in the era of precision medicine, ushering in the use of standardized, normalized, and individualized treatment.

• GISTs
• exosomes
• gastrointestinal stromal tumors
• karyokinesis exponent
• novel treatment
• preoperative tumor staging
• small intestine

• Abscess
• Diverticular disease
• Diverticulitis
• Diverticulosis
• Fistula
• Perforation
• Peritonitis

• Abscess/etiology
• Abscess/therapy
• Acute Disease
• Colon/diagnostic imaging
• Diagnostic Imaging/methods
• Digestive System Surgical Procedures
• Diverticulitis, Colonic/complications
• Diverticulitis, Colonic/diagnostic imaging
• Diverticulitis, Colonic/therapy
• Drainage
• Fistula/etiology
• Fistula/therapy
• Humans
• Intestinal Obstruction/etiology
• Intestinal Obstruction/therapy
• Peritonitis/etiology
• Peritonitis/therapy

• Meckel diverticulum (complications)
• Meckel diverticulum (diagnosis)
• abdominal pain
• bowel perforation
• pediatrics

Meckel's diverticulum is a remnant of the omphalomesenteric duct, found only in approximately 2% of the population. Although Meckel's diverticulum is often diagnosed in nonsymptomatic patients as incidental radiologic findings, complications of Meckel's diverticulum can also be seen on radiologic evaluation. We present a rare care of perforated Meckel's diverticulum in a geriatric patient demonstrated on contrast computed tomography. This was later confirmed during laparoscopic surgery with pathologic evaluation.

• Computed tomography (CT)
• Geriatric
• Meckel's diverticulum
• Perforation
• Small bowel

• Bowel anatomy
• Bowel perforation
• Bowel physiology
• Bowel ultrasound
• Enterocolitis
• Gastrointestinal infections
• Gastrointestinal pathology

• Communicable Diseases/diagnostic imaging
• Communicable Diseases/microbiology
• Diagnosis, Differential
• Gastrointestinal Diseases/diagnostic imaging
• Gastrointestinal Diseases/microbiology
• Humans
• Ultrasonography/methods

• deep enteroscopy
• double-balloon enteroscopy
• obscure gastrointestinal bleeding
• small bowel bleeding
• small bowel capsule endoscopy

• Aged
• Capsule Endoscopy/methods
• Contrast Media
• Endoscopy, Gastrointestinal/methods
• Endoscopy, Gastrointestinal/standards
• Europe
• Female
• Gastrointestinal Hemorrhage/diagnosis
• Gastrointestinal Hemorrhage/surgery
• Humans
• Intestinal Diseases/diagnosis
• Intestinal Diseases/pathology
• Intestine, Small/pathology
• Japan
• Male
• Middle Aged
• Outcome Assessment, Health Care
• Practice Guidelines as Topic
• Quality Improvement
• Tomography, X-Ray Computed/methods
• United States

• ectopic pancreas
• gastrointestinal bleeding
• ileum
• intussusception
• meckel diverticulum

• Adolescent
• Adult
• Aged
• Choristoma/diagnostic imaging
• Choristoma/pathology
• Choristoma/surgery
• Double-Balloon Enteroscopy
• Female
• Humans
• Ileal Diseases/diagnostic imaging
• Ileal Diseases/pathology
• Ileal Diseases/surgery
• Male
• Middle Aged
• Pancreas
• Retrospective Studies
• Young Adult

• gastrointestinal system
• general surgery
• small intestine

• Adult
• Anastomosis, Surgical/methods
• Diagnosis, Differential
• Gastrointestinal Tract/pathology
• Humans
• Ileocecal Valve/pathology
• Ileum/pathology
• Ileus/diagnosis
• Ileus/etiology
• Intestinal Obstruction/etiology
• Intraoperative Period
• Intussusception/diagnostic imaging
• Intussusception/etiology
• Male
• Meckel Diverticulum/complications
• Meckel Diverticulum/pathology
• Meckel Diverticulum/surgery
• Mesentery/pathology
• Polyps/pathology
• Postoperative Complications
• Tomography, X-Ray Computed/methods
• Treatment Outcome

• Complication
• IBD
• ORBIT Score
• Prognostic Factor

• Adolescent
• Adult
• Age Factors
• Aged
• Aged, 80 and over
• Child
• Clinical Decision Rules
• Comorbidity
• Female
• Gastrointestinal Hemorrhage/etiology
• Humans
• Intestinal Diseases/complications
• Intestinal Diseases/diagnosis
• Intestine, Small/pathology
• Japan
• Male
• Middle Aged
• Prospective Studies
• ROC Curve
• Retrospective Studies
• Risk Factors
• Vascular Diseases/complications
• Vascular Diseases/diagnosis
• Young Adult