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At least 19 recordsLinked to original sources
PubMed1976

The natural history of Meckel's Diverticulum and its relation to incidental removal. A study of 202 cases of diseased Meckel's Diverticulum found in King County, Washington, over a fifteen year period.

To determine the natural history of Meckel's diverticulum, 202 case records of proved disease of Meckel's diverticulum were retrieved, covering a fifteen year period, from all the hospitals of King County, Washington (population, 1,143,800). Using the figure of 2 per cent incidence of Meckel's diverticulum, we calculated that a Meckel's diverticulum has a 4.2 per cent likelihood of causing disease during a lifetime, decreasing to zero with old age. Using previously published mortality and morbidity figures, we calculated that to save one patient's life from the complications of Meckel's diverticulum, it would be necessary to remove approximately 800 asymptomatic Meckel's diverticula. This would be likely to incur a significant amount of postoperative morbidity from postoperative intestinal obstruction and infection. We suggest that the prophylactic removal of Meckel's diverticulum is rarely, if ever, justified.

Adolescent↗
PubMedDate not supplied

[Congenital diverticulum of the small intestine: Meckel's diverticulum or intestinal duplication?].

A congenital diverticulum of the small intestine is a condition with only a low morbidity and is generally a Meckel's diverticulum. There is, however, another congenital malformation, which can closely resemble a Meckel's diverticulum, but has another etiology, the tubular duplication of the small intestine. The authors point out the embryologic, anatomic and histological findings between these different but very similar malformations. It seems that the diagnosis of duplication is not often considered when finding a diverticulum of the small intestine and such a malformation is too easily called a Meckel's diverticulum.

Adolescent↗
PubMed1991

Diverticulum of a Meckel's diverticulum containing a stone.

An 18 year old girl presented with acute abdominal pain and a calcified opacity in the pelvis. She proved to have a Meckel's diverticulum which had a secondary diverticulum at its apex, containing a stone. Meckel's stones are uncommon and diverticula of a Meckel's diverticulum exceedingly rare. This is only the second recorded case of such a diverticulum containing a stone, and the first to describe a calcified stone in this location.

Adolescent↗
PubMed1984

A congenital diverticulum of the small intestine; Meckel's diverticulum or duplication?

A diverticulum of the small intestine is a condition with only a low morbidity. This is generally a Meckel's diverticulum (MD). There is, however, the possibility of another congenital malformation, which can closely resemble a MD but has another etiology, the tubular duplication of the small intestine. In a period of three months six patients were treated with a MD with different clinical presentations and histologic findings and an invaginated duplication of the small intestine in a male adult patient. The diagnosis of a tubular duplication of the small intestine is not often considered when finding a diverticulum of the small intestine and such a malformation is too easily called a Meckel's diverticulum.

Adolescent↗
PubMed1977

[The intramural duodenal diverticulum, a topical variation of the intraluminal duodenal diverticulum (author's transl)].

The intramural duodenal diverticulum is a topical variation of the intraluminal duodenal diverticulum. It is manifested not before adult age by noncharacteristic upper abdominal symptoms. Diagnosis is made by radiologic examinations, the therapy is excision of the diverticulum. Structure and topography of the diverticulum are explained by its embryological development.

Adult↗
PubMed2005

Periampullary diverticulum: a case of bleeding from a periampullary diverticulum.

INTRODUCTION: Duodenal diverticula are uncommon and usually asymptomatic. Complications like bleeding, perforation and biliary fistulae are rare. The management of a bleeding duodenal diverticulum can be challenging. With the improvement of endoscopic techniques, many of the cases reported in the literature were managed with endoscopic methods. We present a case report of bleeding duodenal diverticulum. CLINICAL FEATURES: The patient was treated successfully with endoscopic haemostasis during her first epidsode when she initially presented with bleeding duodenal diverticulum, but recurred after 2 months. TREATMENT: Despite initial endoscopic haemostasis during her second episode, she rebled after 2 days, necessitating surgical management. OUTCOME: After suture ligation of the ulcer, the patient recovered and there was no more recurrence. CONCLUSION: Periampullary diverticulum is a rare source of gastrointestinal bleeding, which can be challenging to diagnose and treat. A multidisciplinary approach encompassing radiology, endoscopy and surgery is most effective.

Aged↗
PubMed1991

Congenital urethral diverticulum in the male: a twenty-one year old man with a congenital urethral diverticulum at the bulbous urethra.

Diverticula of the urethral wall are not common. Generally, in the male, congenital urethral diverticulum is located in the anterior urethra. We report a twenty-one year old man who referred to our department for dysuria, micturition in two times, small stream urination. Sometimes he also presented a dry ejaculation. The exams showed, at the bulbous portion of the urethra, an urethral diverticulum. The diverticulum was probably congenital because the patient had no history of urinary infection, catheterization or trauma. A surgery procedure was performed. 9 months later, the result is good.

Adult↗
PubMed2002

Simultaneous epicardial and endocardial mapping of a left-sided posteroseptal accessory pathway associated with a large coronary sinus diverticulum: successful ablation by transection of the diverticulum's neck.

Transcutaneous pericardial instrumentation in a patient with a left-sided posteroseptal accessory pathway associated with a large coronary sinus diverticulum was performed after three previous unsuccessful ablations. The earliest ventricular activation site was recorded epicardially using a catheterin the pericardial space, but energy delivery at this site was not possible due to high impedances. Intravascular linear lesions transecting the neck of the large coronary sinus diverticulum using the pericardial catheter as a target allowed successful radiofrequency catheter ablation of the accessory pathway. This case outlines potential problems with ablations in the pericardial space and provides an alternative solution that can spare patients from open surgical procedures.

Catheter Ablation↗
PubMed1995

[Ileus of the small intestine as sequela of intraduodenal diverticulum. Contribution of roentgen diagnosis to pathophysiology of diverticulum formation].

The case of a 31-year-old male is reported who had recurrent, unexplained abdominal complaints. After hospitalization, an ileus was localized by plain abdominal film in the ileocecal region. A contrast meal revealed a typical intraluminal (duodenal) diverticulum with an enlarged prestenotic duodenum that was undetected during endoscopy. At operation, the cause of the ileus was revealed to be a phytobezoar near the ileocolic valve. After removal and after transluminal resection of the diverticulum, the postoperative course was uneventful. The authors discuss the importance of early roentgen cinematography to clear up the pathogenesis of this very rare intraluminal lesion.

Adult↗
PubMed1987

Carcinoma arising in posterior pharyngeal pulsion diverticulum (Zenker's diverticulum).

Carcinoma is a rare but recognized complication of posterior pharyngeal pulsion (Zenker's diverticulum). Such diverticula merit radiological and endoscopic examination before operation. Surgery is preferred to radiotherapy in the treatment of carcinoma, the choice of operation resting between one-stage diverticulectomy for cancer confined to the body of the sac and pharyngolaryngectomy for more extensive lesions.

Aged↗
PubMed1985

Colonic diverticulum perforation: report of two cases as a complication of coronary artery bypass (perforated diverticulum after coronary artery bypass).

Perforation of a sigmoid diverticulum occurred in two patients in the immediate postoperative period after coronary artery surgery. Etiological factors leading to diverticular perforation after coronary artery bypass grafting are discussed. The significance of pneumoperitoneum on the postoperative chest radiograph, which prompted diagnosis in these cases, is also discussed.

Aged↗
PubMed1997

[Laser diverticulotomy in hypopharyngeal diverticulum (Zenker's diverticulum)].

From 1992 until 1995 the Ear, Nose and Throat Department at the National Hospital investigated 29 patients and completed treatment of 28 patients with a hypopharyngeal diverticulum. A myotomy of the cricopharyngeal muscle was performed endoscopically using CO2 laser. One patient developed mediastinitis as a result of perforation during initial hypopharyngoscopy. Most of the patients reported improvement of the dysphagia. The advantages of this method are a shortened stay in hospital and less morbidity. In addition, the operation can be performed in elderly patients with other complicating diseases. This paper describes the surgical technique and the results.

Adult↗