Diagnosis and Treatment of Bleeding Meckel's Diverticulum.
- Author:
Young Soo HUH
1
;
Bum Ryul KIM
;
Jung Hoon YUN
;
Dong Min KWACK
Author Information
1. Division of Pediatric Surgery, Department of Surgery, College of Medicine, Yeungnam University, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Meckel's diverticulum;
Bleeding;
Children
- MeSH:
Child;
Diagnosis*;
Fistula;
Gastric Mucosa;
Hemorrhage*;
Humans;
Incidence;
Intestinal Obstruction;
Male;
Meckel Diverticulum*;
Postoperative Complications;
Sodium Pertechnetate Tc 99m
- From:Journal of the Korean Association of Pediatric Surgeons
2001;7(1):42-45
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The major complications of Meckel's diverticulum(MD) are bleeding, intestinal obstruction, infection, umbilical fistula and perforation. Although the relative incidences vary between authors, bleeding is the most common complication in children. The aim of our study is to show the symptomatic guideline for the diagnosis of the bleeding MD. Eight cases with bleeding MD which were operated upon at the department of Pediatric Surgery, Yeungnam University Hospital from April 1985 to April 2001 were reviewed. Half of the patients were under 2 years of age and all patients were male. All patients were preoperatively diagnosed by previous history of intestinal bleeding (melena, hematochezia) and 99mTc pertechnetate MD scan. Segmental resection and end-to-end anastomosis was performed in 6 patients and diverticulectomy in 2 patients. Heterotropic gastric mucosa was found in 6 patients. Postoperative complication was not observed in any cases. In conclusion, in any male children with obscure intestinal bleeding, especially less than 2 years of age, bleeding MD must be suspected. It seems to us that 99mTc pertechnetate MD scan is a useful tool to diagnose bleeding MD.
