Gustavo Andres Valencia, Andres Mauricio Garcia Sierra, Juan David Hernandez Restrepo, Felipe Giron Arango, Ricardo Manuel Nassar Bechara. Fundacion Santa Fe
Introduction: Meckel’s diverticulum is the most common congenital abnormality in newborns, present in about 2-4% of them.Diagnostic of Meckel’s diverticulum requires a high index of suspicion, and even with the use of modern imaging technologies, they are often diagnosed intraoperatively. What to do when an asymptomatic diverticulum is found incidentally during surgery for other causes is a matter of discussion.
Objective: The aim of this article is to report 27 symptomatic and asymptomatic incidentally found cases seen in a fourth-level hospital in Colombia.
Materials and Methods: The reports of the histopathologic examinations carried out in the hospital in the last 12 years were reviewed searching for those containing Meckel’s diverticulum in their diagnosis. patients were divided in asymptomatic and symptomatic groups. The asymptomatic group was defined as patients who were operated for a different indication and a Meckel’s diverticulum was found incidentally. Morbidity was divided in early and late complications after the initial surgery.
Results: From January 2004 to June 2017, a total of 42 pathology reports included the diagnosis Meckel’s diverticulum. A total of 27 adult patients were retrieved. All of those patients with Meckel’s diverticulum a total of 22 patients were symptomatic, being SBO the most common complication and required the surgical remove incidentally.
Conclusion: The correct approach of the patients with diverticular pathology allows the early identification and the appropriate management of the surgical complications that can be presented.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88498
Program Number: P273
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster
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