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1995•The journal of the Japanese Practical Surgeon SocietyOpen access

AN ADULT CASE OF INTUSSUSCEPTION CAUSED BY INVAGINATED MECKEL'S DIVERTICULUM

Noriko Hanamura, Hideya KIDA, Yoshikazu AKASAKA, Kazuyuki AMANO, Takashi Yano, Kenji Fujimori

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Abstract

A case of intussusception due to an invaginated Meckel's diverticulum is reported. A 51-year-old woman was admitted to the hospital because of a right lower quadrant pain which lasted for about two months and recently became colicky and intermittently. Physical examination revealed a sausage-shaped tumor of 15×8cm in size. A diagnosis of intussusception was made with ultrasonography and CT. Intraoperatively, an invaginated Meckel's diverticulum which led to intussusception was identified. Right hemicolectomy and partial resection of the ileum with an end-to-end anastomosis was performed. Histological examination of the resected specimen revealed Meckel's diverticulum containing ectopic gastric mucosa with some pylpric gland tissue. We reviewed 23 cases of Meckel's diverticulum leading to intussusception including the present case here in and discussed the clinical picture in this setting.

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A case of intussusception due to an invaginated Meckel's diverticulum is reported. A 51-year-old woman was admitted to the hospital because of a right lower quadrant pain which lasted for about two months and recently became colicky and intermittently. Physical examination revealed a sausage-shaped tumor of 15×8cm in size. A diagnosis of intussusception was made with ultrasonography and CT. Intraoperatively, an invaginated Meckel's diverticulum which led to intussusception was identified. Right hemicolectomy and partial resection of the ileum with an end-to-end anastomosis was performed. Histological examination of the resected specimen revealed Meckel's diverticulum containing ectopic gastric mucosa with some pylpric gland tissue. We reviewed 23 cases of Meckel's diverticulum leading to intussusception including the present case here in and discussed the clinical picture in this setting.

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Available abstract

A case of intussusception due to an invaginated Meckel's diverticulum is reported. A 51-year-old woman was admitted to the hospital because of a right lower quadrant pain which lasted for about two months and recently became colicky and intermittently. Physical examination revealed a sausage-shaped tumor of 15×8cm in size. A diagnosis of intussusception was made with ultrasonography and CT. Intraoperatively, an invaginated Meckel's diverticulum which led to intussusception was identified. Right hemicolectomy and partial resection of the ileum with an end-to-end anastomosis was performed. Histological examination of the resected specimen revealed Meckel's diverticulum containing ectopic gastric mucosa with some pylpric gland tissue. We reviewed 23 cases of Meckel's diverticulum leading to intussusception including the present case here in and discussed the clinical picture in this setting.

Key concepts: Intussusception (medical disorder), Diverticulum (mollusc), Meckel's diverticulum, Medicine, Hepatic diverticulum, Anastomosis, Invagination, Ileum

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