A foreign body (a coin) of Meckel’s diverticulum in a two-year-old child

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Abstract

Meckel’s diverticulum is a sac-like bulge of the wall of ileum formed in result of incomplete closure of the viteline duct that participates in nutrition of the embryo.

Aim. To familiarize a wide community of colleagues with an interesting clinical case of a foreign body (a coin) in Meckel’s diverticulum. In the article, approaches to diagnostics and operative treatment of such patients are given. This clinical observation is of interest to abdominal surgeons from the point of view that Meckel’s diverticulum is most commonly identified by clinical symptoms present in diverticulitis, bleeding or perforating ulcer, in intestinal obstruction caused by formation of a node or of invagination.

Conclusion. A situation in which a blunt-ended foreign body permitted to identify Meckel’s diverticulum, is described as casuistically rare.

About the authors

Vasily P. Gavrilyuk

Kursk State Medical University

Email: wvas@mail.ru
ORCID iD: 0000-0003-4792-1862
SPIN-code: 2730-4515

MD, PhD, Associate Professor, Head of the Department of Pediatric Surgery and Pediatrics of Postdegree Education Faculty

Russian Federation, Kursk

Stanislav V. Kostin

Kursk State Medical University; Kursk Regional Children’s Hospital №2

Email: drkostin@inbox.ru
ORCID iD: 0000-0003-0857-6437
SPIN-code: 7242-5368

MD, PhD, Associate Professor of the Department of Pediatric Surgery and Pediatrics of Postdegree Education Faculty; Head of the Department of Pediatric's Surgery

Russian Federation, Kursk

Valentina A. Muchkina

Kursk Regional Children’s Hospital №2

Email: vmuchkina@list.ru
ORCID iD: 0000-0003-3347-5611
SPIN-code: 5272-2412
ResearcherId: G-4584-2014

Pediatric Surgeon

Russian Federation, Kursk

Dmitry A. Severinov

Kursk State Medical University

Author for correspondence.
Email: dmitriy.severinov.93@mail.ru
ORCID iD: 0000-0003-4460-1353
SPIN-code: 1966-0239
ResearcherId: G-4584-2017

Assistant of the Department of Pediatric Surgery and Pediatrics of Postdegree Education Faculty

Russian Federation, Kursk

Natalia V. Kosolapova

Kursk State Medical University

Email: xray.knv@gmail.com
ORCID iD: 0000-0002-2044-160X
SPIN-code: 3111-5055
ResearcherId: G-4584-2015

Head of the X-ray Cabinet

Russian Federation, Kursk

References

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  13. Ding Y, Zhou Y, Ji Z, et al. Laparoscopic management of perforated Meckel’s diverticulum in adults. International Journal of Medical Sciences. 2012; 9(3):243-7. doi: 10.7150/ijms.4170

Supplementary files

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2. Fig. 1. Survey X-ray of abdominal cavity of child H., 2 years 10 months of age on admission to hospital (A), a day after (B):on the right of the iliac region a foreign body (a coin) is determined

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3. Fig. 2. Intraoperative photo of Meckel’s diverticulum with a foreign body (a coin)

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Copyright (c) 2020 Gavrilyuk V.P., Kostin S.V., Muchkina V.A., Severinov D.A., Kosolapova N.V.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
 


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