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A Review of Sixty-Six Emergency Meckel's Diverticulectomies

D. Alan Aubrey, MB, BS, FRCS

AMA Arch Surg. 1970;100(2):144-146.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The potential dangers associated with Meckel's diverticulum are well recognized. Nevertheless, the management of the abnormality, when it is encountered incidentally during emergency operations performed for other conditions, is not standard. For example, it has been stated¹ that excision of the lesion is contraindicated when other intra-abdominal organs are acutely inflamed. In Weinstein et al's² series 30% of the diverticula were not resected since they were macroscopically normal and had wide mouths. It seemed worthwhile, therefore, to examine our results of 66 emergency Meckel's diverticulectomies.

The Case Material

The case material is summarized in the following tabulation:

No. of Pathological Findings Cases Meckel's diverticula incidental to acute appendicitis 30 Intestinal Meckel's diverticula associated with obstruction 14 Crohn's disease 5 Gastrointestinal hemorrhage 4 Meckel's diverticulitis 5 Meckel's diverticula showing serosal vascular congestion, but otherwise normal 8 Total 66

Of the four patients who presented with rectal hemorrhage, in two the . . . [Full Text PDF of this Article]

Author Affiliations
Cardiff, Wales

From the Cardiff Royal Infirmary, Welsh National School of Medicine, Cardiff, Wales.

Footnotes
Accepted for publication Oct 28, 1969.

Reprint requests to Gwent Postgraduate Medical Centre, Royal Gwent Hospital, Newport, Monmouthshire, Great Britain (Dr. Aubrey).

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