Abstract：
:Meckel's diverticulum (MD ) is the most common congenital anomaly of the gastrointestinal tract. We revalued clinical records of patients discharged from Unit of Urgent and General Surgery of Highly Specialized Hospital "A.O.R.N. Antonio Cardarelli" of Naples with diagnosis of acute pathology associated to complicated MD from 1(st) January 2011 to 30(th) November 2012. Seven consecutive cases have been chosen: five males (71,4%) and two females (28,6%). The age ranges over from 13 to 50 years with a 28 years average. Four of them were submitted to emergency surgical intervention for hemorrhage from gastro-enteric tract (57%), two for bowel obstruction (29%) and one for acute appendicitis (14%). In all cases sample was send to histological examination. Two samples showed normal epithelial mucosa. Four of them showed ectopic mucosa inside the diverticulum: three gastric and one pancreatic ectopic mucosa focal areas. The last case showed normal epithelial cells but with ulcerated and hemorrhagic areas. Four samples of patients with hemorrhage from gastroenteric tract showed at histological examination: a case of normal mucosa, a case of gastric mucosa areas, one of pancreatic ectopic tissue and the last with normal mucosa but ulcerated and with bleeding areas.In our experience we never speculated that acute symptomatology depended on complicated MD and diagnosis was always done during laparotomy. We think that MD removal is always the correct choice, so that future complications such as neoplasm can be avoided. MD simple resection by Stapler at the base of diverticulum is the correct choice.
journal_name
Ann Ital Chirjournal_title
Annali italiani di chirurgiaauthors
Robustelli U,Manguso F,Armellino MF,Mannelli MP,Massa MR,Forner AL,Bellotti R,Ambrosino F,Severino BUsubject
Has Abstractpub_date
2014-03-01 00:00:00pages
129-35issue
2eissn
0003-469Xissn
2239-253Xpii
S0003469X14021174journal_volume
85pub_type
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journal_title：Annali italiani di chirurgia
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journal_title：Annali italiani di chirurgia
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journal_title：Annali italiani di chirurgia
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journal_title：Annali italiani di chirurgia
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journal_title：Annali italiani di chirurgia
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journal_title：Annali italiani di chirurgia
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