Document Detail


Meckel's diverticulum complicating pregnancy. Case report and review of the literature.
MedLine Citation:
PMID:  15290167     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Symptomatic Meckel's diverticulum is a rare entity in pregnancy. The clinical presentation is variable and preoperative diagnosis is hampered by the various anatomical and physiological changes of pregnancy that can obscure serious underlying intra-abdominal pathology. CASE REPORT: We report a 14-year-old who presented at 32 weeks' gestation with worsening abdominal pain, distension, and leukocytosis. Abdominal computed tomography showed a pelvic fluid collection with extraluminal air suggestive of a perforated viscus and mechanical small bowel obstruction with features of a closed-loop obstruction. Explorative laparotomy revealed a perforated Meckel's diverticulum. Multiple adhesions between the appendix and the perforated diverticulum, and phlegmon sequelae led to the incarceration of an adjacent segment of ileum. DISCUSSION: Meckel's diverticulum in pregnancy can have serious consequences. There is a high rate of perforation due to delayed diagnosis and surgical intervention. Our report and review of the literature suggest that a high index of clinical suspicion can lead to earlier diagnosis and help to keep maternal and fetal morbidity and mortality to a minimum.
Authors:
Udo Rudloff; Sanjay Jobanputra; Michelle Smith-Levitin; Edmund Kessler
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2004-07-28
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  271     ISSN:  0932-0067     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-01-18     Completed Date:  2006-01-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  89-93     Citation Subset:  IM    
Affiliation:
Department of Surgery, North Shore University Hospital, 300 Community Drive, Manhasset, NY 11030, USA. udo_rudloff@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Amniocentesis
Female
Humans
Intestinal Perforation / diagnosis,  etiology*,  surgery
Meckel Diverticulum / complications*,  radiography,  surgery
Pregnancy
Pregnancy Complications / etiology*,  radiography,  surgery
Pregnancy Trimester, Third
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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