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This paper describes our experience with pre-surgical diagnosis of Meckel's diverticulum. We used a naso-jejunal-ileal tube, through which, we injected small amounts of radio-opaque fluid and air, thus utilizing double contrast. In seven children diverticulum was shown to be present by radioscopic and radiographic techniques; this was later confirmed during laparotomy. X-ray findings were compared with Tc99 scanning results.
Although it is not uncommon to encounter a Mecklel's diverticulum in a patient with Crohn's disease, the involvement of this diverticulum by Crohn's disease is less common. A well performed radiological small intestinal study strongly suggests the diagnosis, which is definite after histologic examination of the reported.
Meckel's diverticulum is a pathology not rarely found everyday clinical medicine especially when it present with one of its complications. The specific diagnosis is a bit difficult to put because of the low sensibility and specificity of symptoms of diagnostic and instrumental techniques used. The reported case shows a rare type of complication constituted by the phlogosis of Meckel's diverticulum, itself due to an extraneous thing ingested by the patient. The authors discuss the entity of the manifestations of this pathology and highlight every aspects.
We report a successful repair of tetralogy of Fallot and left ventricular diverticulum associated with pentaology of Cantrell. The repair consisted of partial infundibular septectomy, closure of ventricular septum, reconstruction of right ventricular outlet using monocuspid transjunctional patch, and resection of left ventricular diverticulum. The infundibulum was extremely elongated, caused by ventricular dextroversion, and the hypoplasia of pulmonary trunk was absent. Therefore, transjunctional patch was longer, even after infundibular septectomy. This report discuss the pathogenesis of these cardiac anomalies and surgical imlication.
The surgical treatment results of 68 patients with duodenal diverticulum were analyzed, 21 of whom the various interventions on biliary tracts for cholelithic disease and her complications earlier were conducted. Postcholecystectomy syndrome origin was connected with non-diagnosed and non-eliminated duodenal peripapillary diverticulum. The clinical peculiarities, diagnostic algorithm and the complex of preoperative preparation, surgical treatment and complications prophylaxis are adduced. The necessity of associated terminal common bile duct portion correction plus diverticulectomy or intestine exclusion according to A. G. Zemlianoĭ was suggested.
The diagnosis and successful treatment of female urethral diverticulum can be facilitated by a heightened clinical awareness coupled with appropriate evaluation and perioperative management. In particular, it is important to address all the preoperative factors to avoid complications de treatment such as recurrence of the diverticulum or urethro-vaginal fistula. The authors also report their clinical experience of evaluating 59 women with urethral diverticula over the last 11 years and describe the technique and complications of diverticulectomy in 49 women.
The authors sum up an experience with treatment of 87 patients with Meckel's diverticulum which was the cause of an acute surgical pathology in 66 patients, chronic disease in 5 cases and 16 patients had no alterations. Special attention is called to differential diagnostic problems in the preoperative diagnosing. The volume of operation must depend on the alterations and specific anatomy of the diverticulum, on the degree of involvement of the intestine wall in the pathological process as well as on the character of the arising complications. The nearest and long-term results of the operations are analyzed.
Carcinoma of the urethra is rare with only about 1,500 cases in the literature. Even more rare is carcinoma arising from a urethral diverticulum with about 100 cases reported to date. We report a case of clear cell adenocarcinoma arising from a urethral diverticulum.
An observation of jejunal diverticulum is reported by the authors. It concerned a woman 82 years old whose disease appeared as an acute white spread peritonitis complication. The delay brought to perform the operation made it impossible to save diseased. About that case is evoked the pathogeny of the diverticulum: congenital or acquired. In the case reported it was acquired, the proof resulting from the anatomy-pathology. The disease can appear under a chronicle form with a difficult diagnosis or under a single relevant form whose surgical treatment must be done without delay.
We report two cases of left ventricular diverticulum assessed by magnetic resonance (MR) and radionuclide imaging. MR imaging clearly demonstrated the diverticulum in each case, where abnormal perfusion was observed on Tl-201 myocardial SPECT.
The pharyngoesophageal diverticulum (Zenker's diverticulum) is a pathology not often found, but it is responsive of dysphagia and other unpleasant ailments experienced for the patients, who generally must be submitted to surgery. The AA. describe the surgical procedure followed at their ENT-Department at Hospital General de Alicante and also some clinic-pathological features verified. Review about the literature on the subject. The conclusion drawn out remark the feasibility and the effectiveness of this method of diverticulectomy associated to the cricopharyngeal myotomy. The dissection is easied introducing strips of gauze into the diverticular sack and retaining the oesophagoscope inside the organ during the procedure.
Meckel's diverticulum is the most prevalent anomaly of the gastrointestinal tract, found in about 2% of the general population. Most are asymptomatic; but most frequent complications are intestinal obstruction, diverticulitis and lower gastrointestinal bleeding. A 33-year-old man was operated on for mechanical small bowel obstruction caused by a large Meckel's diverticulum filled with a phytobezoar. This mechanism of obstruction is rare. When the history of a patient without previous intestinal operations, as in this case, raises the possibility of phytobezoar, the probability of congenital anomaly is high.
Presentation of nine cases of diverticulum of the female urethra, and assessment of their specific features both clinical and diagnostic, as well as the surgical techniques used in their management. Review of the literature with regard to incidence, etiopathogeny and presentation of this condition. Analysis of the different diagnostic procedures available to show the presence of an urethral diverticulum and the various management options currently used in their resolution.
Eleven cases of pericardial cysts and 3 cases of pericardial diverticulum were reported. The prominent X-ray manifestations were a round or oval shape shadow with homogeneous density and smooth border in the mediastinum. In this series, the sizes of the lesions were 5-22 cm in diameter with averaged 9.9 cm. In the cases of pericardial diverticulum with a large base, fluoroscopic examination usually revealed that variation in contour of diventiculums during respiration and changing in position of the patients. Some aspects on the operation for pericardial cysts with secondary infection or adhering to the cardiac muscles were suggested in this paper.
A 77-year-old woman with a previous history of pelvic fracture had suffered from recurrent cystitis. In the excretory urography, post-void upright film revealed the bladder hernia associated with the bladder diverticulum. Transurethral incision and fulguration of the bladder diverticulum and left inguinal herniography was performed. There has been no recurrence since then.
Pericardial cyst and diverticulum are commonly found in areas of cardiophrenic angles. In this article, we reported on two operated cases (54-year-old female, 43-year-old male) with pericardial diverticula in upper mediastinum. On their chest CT films, well circumscribed cystic lesions were seen in the right (case 1) and left (case 2) upper mediastinum. Based on findings of imaging modalities such as CT, MRI and transesophageal ultrasonography, the lesions were suspected of benign cystic tumors such as bronchogenic cyst, lymphatic cyst, esophageal cyst and pericardial cyst. However, definite diagnoses were made by thoracotomy. Even though the cystic lesion is recognized in the upper mediastinum, pericardial diverticulum should be considered as its diagnosis as well as bronchogenic cyst, lymphatic cyst, esophageal cyst.
A nephrogenic adenoma was identified histologically in the excised specimen of a urethral diverticulum. Urethral diverticulum is a relatively common disorder of the female lower urinary tract, and nephrogenic adenoma is an extremely rare finding: this is the 13th reported case of this association. Of clinical importance is the close histopathologic resemblance of nephrogenic adenoma to clear cell adenocarcinoma. Nephrogenic adenoma is a benign metaplastic change of the urothelium in response to repair.
We report an unusual case of a pharyngeal diverticulum arising as a result of extrusion of a bone graft inserted during anterior cervical fusion operation. The dense scar tissue at the site of extrusion of the bone graft probably caused traction on the posterior pharyngeal wall, with the development of a pharyngeal pouch. This is believed to be the first case with acquired pharyngeal diverticulum following anterior cervical fusion to be recorded in the literature.