Int J Med Sci 2012; 9(3):243-247. doi:10.7150/ijms.4170

Research Paper

Laparoscopic Management of Perforated Meckel's Diverticulum in Adults

Yinlu Ding1, Yong Zhou1, Zhipeng Ji1, Jianliang Zhang1, Qisan Wang2✉

1. Department of General Surgery, The Second Hospital of Shandong University, Shandong 250033, China.
2. Department of Gastrointestinal Surgery, The Tumor Hospital of Xinjiang Medical University, Xinjiang 830000, China.

Abstract

Objective: To determine the role of laparoscopy in diagnosis and surgical treatment of perforated Meckel's diverticulum (MD) in adults.

Methods: Between July 2003 and July 2011, fifteen patients were seen with perforated MD. Eleven were male and four were female. The median age was 38 years (range, 21-68). All patients presented with a sudden onset of pain. Among them 9 had a past medical history of bloody stools and /or chronic recurrent abdominal pain. 2 were preoperatively diagnosed with perforated MD confirmly and 4 suspiciously, 9 with perforated acute appendicitis. All 15 patients underwent exploratory laparoscopy.

Results: 4 patients with broad-base(≧ 2 cm) and 2 patients with narrow-base(<2 cm) whose perforative site was near the base underwent laparoscopically assisted extracorporal bowel segment resection, the other 9 patients with narrow-base(<2 cm) underwent laparoscopically intraabdominal wedge resection of the MD. No intraoperative or postoperative complications occurred. The median hospital stay was 4 days (range, 2-7days). The histopathologic studies showed heterotopic gastric mucosa (HGM) in 10 cases (66.7%). All patients recovered uneventfully.

Conclusion: To patients with sudden abdomen pain mimic acute appendicitis accompanied by a past medical history of bloody stools and/or chronic recurrent abdominal pain, proferated MD should be kept in mind as a differential diagnosis. Laparoscopy is a safe and effective surgical modality for diagnosis of proferated MD and has a therapeutic role that results in an excellent cosmetic result.

Keywords: Meckel's diverticulum, Perforation, Laparoscopy

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How to cite this article:
Ding Y, Zhou Y, Ji Z, Zhang J, Wang Q. Laparoscopic Management of Perforated Meckel's Diverticulum in Adults. Int J Med Sci 2012; 9(3):243-247. doi:10.7150/ijms.4170. Available from http://www.medsci.org/v09p0243.htm