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Factors in Morbidity and Mortality

EDWARD PASSARO, JR., MD; DENNIS RICHMOND, MD; H. EARL GORDON, MD

AMA Arch Surg. 1966;93(2):315-318.

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

MECKEL'S diverticulum is rarely encountered in the adult patient. When discovered incidentally at operation, excision is safe and simple. It is not generally recognized, however, that surgery performed specifically for Meckel's diverticulum in the adult is often extensive and is attended by a high mortality.

This report deals with an analysis of 22 cases of Meckel's diverticulum treated at the Wadsworth Veterans Administration Hospital between 1950 and 1965. A comparison is made between patients whose diverticulum was symptomatic and those who had incidental excision. Three cases are presented which illustrate factors contributing to the high mortality and morbidity in the former group.

Case Material

Excision of a Meckel's diverticulum was performed in one female and 21 male patients. Their ages ranged from 19 years to 93 years with an approximately equal number in each decade. Surprisingly, 13 patients were operated on for symptoms produced by the diseased diverticulum whereas in . . . [Full Text PDF of this Article]

Author Affiliations
LOS ANGELES

From the Surgical Service, Wadsworth Hospital, Veterans Administration Center, and the Department of Surgery, University of California, Los Angeles, School of Medicine, Los Angeles.

Footnotes
Submitted for publication March 18, 1966.

Reprint requests to Wadsworth Hospital, Wilshire and Sawtelle Blvd, Los Angeles 90073.

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