An uncommon variant of Meckel’s diverticulum

• Published in: Canadian Journal of Surgery Vol. 51; no. 2; pp. E46 - E47
• Main Authors: Sarioglu-Buke, Akile, MD, Corduk, Nergul, MD, Koltuksuz, Ugur, MD, Karabul, Murat, MD, Savran, Bircan, MD, Bagci, Senol, MD
• Format: Journal Article
• Language: English
• Published: Canada CMA Impact Inc 01.04.2008; CMA Impact, Inc; Canadian Medical Association
• Subjects: Abnormalities; Anatomy & physiology; Children & youth; Diagnosis, Differential; Gastrointestinal diseases; Gastrointestinal Hemorrhage - etiology; Gastrointestinal Hemorrhage - surgery; Gastrointestinal system; Hemophilia; Humans; Ileum - pathology; Ileum - surgery; Infant; Male; Meckel Diverticulum - diagnosis; Meckel Diverticulum - surgery; Mesentery - pathology; Mesentery - surgery; Surgery; Turkey
• ISSN: 0008-428X; 1488-2310
• DOI: 10.1016/S0008-428X(08)50196-2

In the English literature we encountered another case of [Meckel]'s diverticulum wedged into the mesenterium. A patent omphalomesenteric canal detected during the newborn period was reported to have disappeared when the infant was 3 months old, leaving a Meckel's diver-ticulum adherent to the mesentery with no mesodiverticular band.4 Kurzbart and associates4 commented on the unexpected disappearance of the patent omphalomesenteric canal but not on the unusual location and the sequencing of these 2 conditions. This is an interesting case not only because patency of the omphalomesenteric canal disappeared in 3 months but also because it left behind a Meckel's diverticulum wedged into the mesenterium. The most distinguished difference between a Meckel's diverticu-lum in the mesenteric location and ileal duplication is the fact that the former is a remnant of the omphalomesenteric canal. This case proves that Meckel's diverticu-lum attached to the mesenterium is a distinct variant of Meckel's diverticulum.