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PubMed1977

Spontaneous rupture of a congenital diverticulum of the right ventricle in a 1-month-old child.

Spontaneous rupture of a thin fibrous congenital subepicardial diverticulum of the right ventricle of the heart resulted in a sudden death of an 1-mth-old child. Heart catheterization with angiocardiography at 1 and 2 wk of age revealed a truncus arteriosus type A 1 with a small frontal outbulging in the level with the outflow of the right ventricle, interpreted as a blind infurdibular chamber. At autopsy this outbulging was identified as a congenital fibrous diverticulum of the right ventricle. Death was due to rupture of the diverticulum and hemopericardium. The case motivated a reviewing of the literature dealing with congenital diverticula of the right ventricle of the heart, as well as a discussion of problems with the diagnosis of the diverticulum.

Diverticulum↗
PubMed1979

[Radioisotopic diagnosis of Meckel's diverticulum in children].

The serial scintiphotography following intravenous injection of Tc99m-ertechnetate was used for examination of 50 children aged from 11 months to 14 years. The method is founded on the Tc99m-pertechnetate property of selective accumulation in the gastric mucous membrane and in Meckel's diverticulum when the latter contains the ectopic gastric mucous membrane. The inflamed diverticulum can accumulate the radionuclide, as well. Meckel's diverticulum was suspected in 7 children during examination; in 6 of them Meckel's diverticulum was found peroperatively, and in one case there was enterocyst of the ileum.

Adolescent↗
PubMed1983

Physiologic response to cricopharyngeal myotomy and diverticulum suspension.

Ten patients who had a cricopharyngeal myotomy and diverticulum suspension for pharyngoesophageal diverticulum have been studied clinically, radiologically, and manometrically. There were no deaths or morbidity and all patients have achieved marked improvement of their symptoms. Before operation all patients but one had low resting tone in the upper esophageal sphincter and all patients had normal relaxation of the sphincter upon swallowing. The coordination of pharyngeal contraction and sphincter relaxation was normal in six patients and abnormal in four patients. After operations the only change was an increase in resting tone in seven patients, and there was no change in three patients. We conclude that cricopharyngeal myotomy and diverticulum suspension constitute an effective form of treatment for pharyngoesophageal diverticulum.

Aged↗
PubMed1984

[A case of intestinal occlusion caused by a Meckel' diverticulum (etiopathogenetic, diagnostic and clinical considerations)].

The authors show a case of acute intestinal stoppage due to Meckel's diverticulum. After some notices about embryogenesis, pathological anatomy and symptomatology of Meckel's diverticula, they point out the difficulty to reach the diagnosis of such disease, which almost always is only done subsequent to the appearance of complications, such as: intestinal stoppage, inflammation, ulceration, perforation, neoplasms, bleeding. In fact, the diagnosis of Meckel's diverticulum is exceptionally preoperative and difficult on the basis of the symptomatology only, for which the disease can be responsible, whereas it can be more easily placed thanks to the contribution of instrumental methods, such as: barium meal, opaque enema, scintigraphy with 99mNa pertechnetate, selective arteriography of upper mesenterial artery. The diagnosis is more frequently interoperative, in course of explorative laparotomy or performed for other indications. Then the Authors state their orientation about the treatment, which is surgical in all the complex cases of Meckel's diverticulum, with a mention of the different operative techniques, and, as a conclusion, confirm the necessity for the systematic research of the asymptomatic diverticulum, the removal of which represents the only prophylactic measure against a permanent possibility and dreadful complicative evolution of same.

Humans↗
PubMed1980

[Intraluminal diverticulum of the esophagus. Case report].

Intraluminal diverticulum of the esophagus is exceptive. It characteristic radiograhic appearance is of a smooth ovoid collection of barium surrounded by a smooth, thin radiolucent line. The diverticulum was plainly within the esophageal lumen. The diverticulum was not demonstrated on every barium study. One case of a 79 year old goitred female with intraluminal esophageal diverticulum is reported. Possible causes are considered.

Aged↗
PubMed1981

[Intraluminal diverticulum of the duodenum].

The intraluminal diverticulum of the duodenum is a rare disease. Up to now about 50 cases were described. The case in question is a saccate evagination of the duodenal mucous membrane near Vater's papilla. The diverticulum lies within the duodenal lumen and inside and outside it is coated by duodenal mucous membrane. The clinical symptomatology is unspecific. As a rule, the diagnosis is made roentgenologically by a gastrointestinal passage. In the present case the diverticulum contained gallstones and could be represented by an intravenous cholangiography. This was conditioned by the position of the papilla in the diverticulum.

Adult↗
PubMed1982

Pharyngoesophageal (Zenker's) diverticulum: a reappraisal.

Manometric evaluation of pharyngeal contraction and upper esophageal sphincter relaxation was performed in a group of patients with Zenker's diverticulum using a specially designed low compliance manometric recording system. The results were compared with those in normal controls. In all cases, the upper esophageal sphincter showed complete relaxation during swallowing and no incoordination between pharyngeal contraction and upper esophageal sphincter relaxation could be demonstrated compared to time intervals found in the control group. Resting upper esophageal sphincter pressures were significantly lower in diverticulum patients than in controls. It is concluded that symptomatic patients with Zenker's diverticulum have normal pharyngeal-upper esophageal sphincter coordination, exhibit complete upper esophageal sphincter relaxation on swallowing, and have low resting upper esophageal sphincter pressures. These results seriously question the previous concept of abnormalities of pharyngeal-upper esophageal sphincter coordination in patients with Zenker's diverticulum.

Aged↗
PubMed1983

Perforation of a Meckel's diverticulum by a foreign body.

Perforation of a Meckel's diverticulum by a sharp object often presents with subtle nonspecific abdominal findings. A 53-year-old man had features resembling acute appendicitis and right ureteral obstruction. At laparotomy a wooden toothpick was found perforating a Meckel's diverticulum. The diagnosis of complicated Meckel's diverticulum should be considered when there is typical right lower quadrant pain or the patient is known to have ingested a sharp foreign body. The mortality resulting from perforation is low. The authors discuss other complications of Meckel's diverticulum.

Foreign Bodies↗
PubMedDate not supplied

Meckel's diverticulum: a surgical dilemma?

In spite of the fact that Meckel's diverticulum is the most common congenital abnormality of the small bowel, there is considerable controversy concerning its surgical management. Resection of a symptomatic Meckel's diverticulum is not a common operation in the experience of most general surgeons. As illustrated by the cases presented in this series, the indications for operation are usually clear. Should abdominal exploration routinely include a search for a Meckel's diverticulum and should it be resected in the absence of symptoms? Although there is no compelling evidence to support the opinion that an asymptomatic Meckel's diverticulum constitutes a major threat to the future well-being of a patient, it is apparent that incidental removal is associated with minimal risk of complications. What are the medicolegal implications? A series of 13 patients is presented to review the salient features of this interesting anomaly, together with pertinent comments from the literature.

Adult↗
PubMed1981

[Diagnostic principles in complications of Meckel's diverticulum].

The analysis of 382 observations of the complicated Meckel's diverticulum in children and adults is presented. The clinical course of the diverticulum, ileus resulting from this defect, peptic ulcer of the diverticulum are described. It has been established that in people having the diverticulum there occur other congenital developmental abnormalities which may be used for making the diagnosis of the disease.

Adolescent↗
PubMed1995

[Carcinoid of Meckel's diverticulum].

The carcinoid of Meckel's diverticulum is a very rare lesion, and about 100 cases in the literature have been described. Most of these tumors are casually find out at autopsy or laparoscopy for other pathology. Seldom was described a sintomatology correlated to carcinoid of Meckel's diverticulum presence, except the rare case where was formed a carcinoid syndrome. Authors present a clinical case where was casually found by a carcinoid of Meckel's diverticulum during an appendicectomy. The intention is to underline the importance of research the Meckel's diverticulum every time, and in particular in case of young subjects, remove it and perform an histological valuation, to exclude the presence of a carcinoid that could give metastases to local lymph-nodes or liver.

Carcinoid Tumor↗
PubMed1995

[Radiofrequency ablation of a posteroseptal accessory pathway associated with coronary sinus diverticulum].

The case of a patient with a symptomatic Wolff-Parkinson-White syndrome undergoing attempted radiofrequency catheter ablation of a posteroseptal accessory pathway is described. Coronary sinus venography revealed the presence of a diverticulum attaching near the os. The electrogram recorded from a catheter placed in the narrow neck of the diverticulum revealed a short atrioventricular time during sinus rhythm. The pathway was easily ablated using radiofrequency energy applied in the neck of the diverticulum, after multiple failed attempts at catheter ablation from the endocardial surface of the posteroseptal space. Our report emphasizes the importance of searching for a coronary venous diverticulum in all patients with posterior accessory pathways undergoing catheter ablation.

Adult↗
PubMed1995

[Surgical treatment of vertigo induced by jugular bulb diverticulum].

The position of the jugular bulb is extremely variable. A high jugular fossa with a diverticulum of the jugular bulb can alter the inner ear function with sensorineural hearing loss, vertigo and tinnitus. Nine cases of jugular bulb diverticulum with vertigo mimicking Menière's disease were operated on and followed up from 3 months to 4 years. Eight patients were treated surgically. The jugular bulb was approached through a mastoïdectomy and the diverticulum was compressed downwards using bone wax. The vertigo disappeared after surgery in all cases. These observations suggest that an abnormally of the jugular bulb should be considered as a possible symptom of Ménière's disease and that vertigo can be cured by downward compression of the diverticulum.

Aged↗
PubMed1995

Hutch paraureteral diverticulum complicating radical hysterectomy.

BACKGROUND: Paraureteral diverticula are abnormalities of the urinary bladder which are more common in males, and thus are infrequently encountered in the patient population of the gynecologic oncologist. CASE REPORT: A 59 year old white female, with a history of recurrent bladder cancer treated by transurethral resection, presented with an abnormal cervical cone biopsy revealing invasive squamous cell carcinoma of the uterine cervix". The patient had a known Hutch paraureteral diverticulum for which she was receiving prophylactic cyprofloxacin. Computed tomography revealed an 8.5 x 8 x 7 cm paraureteral diverticulum on the right. There was no hydronephrosis of either renal pelvis. Laparotomy revealed a mass, resembling a second urinary bladder, which was very closely associated with the bladder and lateral proximal vagina on the right. Since a urological consultant advised that the diverticulum should not be resected, dissection around the bladder and vagina for the radical hysterectomy was made much more difficult. CONCLUSION: The presence of a paraureteral diverticulum increases the difficulty of performing a radical hysterectomy.

Carcinoma, Squamous Cell↗
PubMedDate not supplied

Serial ultrasonic changes of the bladder diverticulum during urination: report of one case.

A seven-year-old boy with a retrovesical diverticulum and ipsilateral renal dysplasia is reported. He had had a history of frequent urination and dysuria for four years. According to sonography, the volume of bladder diverticulum obviously changed during urination. The diverticulum presented as a temporary large reservoir of the bladder. In this case, serial ultrasonic changes assisted understanding of the role of the diverticulum during urination.

Child↗
PubMed1994

Massive bleeding from a Zenker's diverticulum: case report and review of the literature.

Zenker's diverticulum is an unusual site of origin for clinically significant upper gastrointestinal hemorrhage. Only three such cases have been previously documented. We report a case of massive upper gastrointestinal bleeding from a Zenker's diverticulum seen as hemoptysis and associated with chronic ingestion of one aspirin tablet every other day. Because of the propensity for ingested tablets to lodge in the diverticulum, caution is urged when prescribing ulcerogenic agents in pill form to a patient with a known Zenker's diverticulum.

Aged↗
PubMedDate not supplied

Intestinal diverticulum in a turkey.

A normal 21-day-old British United Turkey of America had an intestinal diverticulum. The diverticulum, which affected all layers of the intestinal wall, arose on the mesenteric surface of the ileum midway between the yolk sac and the cecal tonsils. The general structure of the diverticulum resembled the normal histological appearance of the ileum, although a progressive atrophy of the wall occurred throughout the length of the diverticulum. No metaplasia, inflammation, or tumor was observed.

Animals↗
PubMedDate not supplied

The ileal diverticulum. Morpho-clinical and epidemiological study.

In two autopsy prospective studies, at the Prosectures of the Departmental Hospital and of the Pediatric Hospital in Cluj, we found an incidence of Meckel's diverticulum of 1.16%, 1.46% respectively. Besides, we have retrospectively followed the incidence of the ileal diverticulum during the laparatomies performed at the Pediatric Hospital in Cluj between 1981 and 1990 on an acute abdomen of a supposed appendicular cause. Consulting the pathological bulletins which registered 8,385 laparatomies we found 200 Meckel's diverticula. Of the 200 diverticula, 64 exhibited a pathological process and 136 were trophic, and we suppose that they were found incidentally (incidence of 1.63%, corrected incidence of 1.38%). Up to the age of 16, 4.5% of the diverticula were excised. In the 64 symptomatic cases of ileal diverticulum, 50 presented inflammatory complications, 10 were ulcero-hemorrhagic, two were obstructive, one diverticulum presented an entero-umbilical fistula and one displayed a hemorrhagic infarction. Seventeen of the 200 diverticula presented heterotopic tissues; 12 of the 17 cases were symptomatic; in 64.7% of the cases the heterotopic tissue was the gastric mucous coat. Out of 8,385 laparatomies performed on an acute abdomen of a supposed appendicular cause, in 64 cases the symptomatology was generated by a meckelian pathological process (0.76%). An acute appendicitis was concomitantly present in 22 of the 64 cases.

Child↗