Volume : VIII, Issue : IX, September - 2018

Uncomplicated meckel‘s diverticulum. Does it really need resection?

Kusum Meena, Sujata Singla, Brijesh Kumar

Abstract :

Background

Meckel’s  diverticulum is present in 2% 0f population andit is commonly found as an incidental finding during emergency laparotomy or in inguinal hernia surgeries.The presentation varies from mere asymptomatic to life threatening haemorrhage or a potential site for harbouring  tumours.Littre’s hernia is characterized by MD in hernia sac located in one of the inguinal,umbilical,femoral,ventral,sciatic and lumbar hernia  sacs and it is a big surprise for operating surgeon and great challenge to decide whether to resect or leave it? The external appearance  and palpation of MD does not indicate towards presence of heterotopic mucosa of gastric or pancreatic origin.

Case report

We are reporting a case of 55years old gentleman who presented with right sided complete irreducible inguinal hernia containing MD as content of inguinal hernia sac.Though the MD was asymptomatic but we performed simultaneous wedge resection of MD with primary suturing along with Lichensteinmesh hernioplasty.The emphasis in reporting this case is to talk about surgical resection of MD as well as performing mesh hernioplasty in same sitting in selected cases .

Conclusion

Clinical features of Littre’s hernia and other inguinal hernias are same making it difficult to diagnose preoperatively unless complications occurs. It is advisable that in cases of irreducible hernias surgeon should suspect possibility of presence of MD.USG can be used as an adjunct in the evaluation of irreducible hernias. The incidence of potential lifelong complications of meckel’s is  5–6% in comparison to complication associated with resection of  asymptomatic meckel’s as prophylactic surgery is 1% so in an era of safe anaesthesia and safe surgical techniques it is  wise to go ahead with resection in selective patients who arehemodynamically stable and without any co– morbidities.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Kusum Meena, Sujata Singla, Brijesh Kumar, Uncomplicated meckel‘s diverticulum. Does it really need resection?, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-9 | September-2018

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