STUDY OF MODES OF PRESENTATION OF MECKEL'S CIVERTICULUM AND ITS MANAGEMENT OF A RARE CASE SERIES

Volume : VIII, Issue : IV, April - 2018

Dr . Raghu Rachha, Dr. Vangari Ravi, Dt J Suresh

Background: Meckel‘s Diverticulum is the most common congenital abnormality of the gastrointestinal tract. It is the

most frequently encountered Diverticulum of the small intestine. It is an uncommon clinical disorder, only a high index of

suspicion leads to proper diagnosis by use of further radiologic studies. This study is to know the various modes of presentation and relative

frequencies of occurrence, of Meckel‘s Diverticulum and establish early..diagnosis by various investigations and various modes of management

to know the better treatment of choice.

Methods :18 patients were studied who were diagnosed with Meckel‘s Diverticulum who admitted in Osmania General hospital during 2014–

2016. All the patients underwent definitive treatment.

Results & Findings: From our study it is observed that

1. Meckel‘s Diverticulum represented 0.56 o/o of all the cases presented to the emergency general surgery and pediatric surgery departments in

Osmania General Hospital.

2. The maximum cases were found to be in the 11–20years age group.

3. There was male preponderance.

4. Pain abdomen is the most common presenting symptom in 88.8 % of cases.

5. In our series, none of the cases, Meckel‘s Diverticulum were diagnosed preoperatively.

CONCLUSION

1. No associated congenital anomaly was found in our series.

2. In our series, none of the cases, Meckel‘s diverticulum was diagnosed preoperatively.

3. Plain X–ray abdomen in erect posture was the diagnostic aid cases of intestinal obstruction.

4. At laparotomy, intestinal obstruction was mainly due to the presence of bands in our series.

5. The average size of Meckel‘s diverticulum was 5 cm and average distance from IC Junction was 56 cm.