{"id":1383,"date":"2018-07-05T15:11:39","date_gmt":"2018-07-05T15:11:39","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=1383"},"modified":"2018-07-05T15:11:55","modified_gmt":"2018-07-05T15:11:55","slug":"ijar-2018-249","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2018-249","title":{"rendered":"IJAR.2018.249"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.6.3\/IJAR.2018.249.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-6-3.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 6; Issue 3.1 (July 2018)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a05477-5480<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2018.249<\/h3>\n<h3 style=\"text-align: justify;\">MECKEL\u2019S DIVERTICULUM: THE INCIDENCE, GROSS AND MICROSCOPIC FEATURES; A CADAVERIC STUDY<\/h3>\n<p style=\"text-align: justify;\"><strong>Subhalakshmi Wahengbam <sup>1<\/sup>, Thonthon Daimei *<sup>2<\/sup>, Keisam Anupama Devi <sup>2<\/sup>, Joyce Tunglut <sup>3<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>1 <\/sup>Associate Professor, Department of Anatomy, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Imphal, Manipur, India.<\/p>\n<p style=\"text-align: justify;\"><sup>*2 <\/sup>Assistant Professor, Department of Anatomy, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Imphal, Manipur, India.<\/p>\n<p style=\"text-align: justify;\"><sup>3 <\/sup>Post graduate student, Department of Anatomy, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Imphal, Manipur, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Address for Correspondence:<\/strong> Dr. Thonthon Daimei, Assistant Professor, Department of Anatomy, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Imphal-795005, Manipur, India.Mobile no.: (91)8731086918\u00a0 <strong>E-Mail:<\/strong> subhawah_e@rediffmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT:<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background:<\/strong> Meckel\u2019s diverticulum is the most common congenital anomaly of the gastrointestinal tract due to persistence of omphalomesentric duct and it can present diagnostic and surgical challenges. The aim of this study is to find out the incidence of Meckel\u2019s diverticulum among the cadavers of Indian origin and to observe its gross and microscopic features.<\/p>\n<p style=\"text-align: justify;\"><strong>Materials and Methods: <\/strong>The study was carried out on 45 Indian cadavers (38 males &amp; 7 females) in the Department of Anatomy, JNIMS, Imphal, from 2010-2017.The incidence of Meckel\u2019s diverticulum was determined and its gross and histological features were observed.<\/p>\n<p style=\"text-align: justify;\"><strong>Results:<\/strong> Meckel\u2019s diverticulum was observed in 2.22% of the cases. It was 4 cm in length, 2cm in breadth and its tip was free without any connection with the umbilicus. Histologically, the tissue showed features similar to ileum.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion:<\/strong> An adequate knowledge of embryological, pathological, radiological and clinical characteristics of Meckel\u2019s diverticulum and so also of its incidence in a particular population is essential for the early and accurate diagnosis and effective surgical management of the complicated cases.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words: <\/strong>Meckel\u2019s diverticulum, congenital anomaly, omphalomesentric duct, ileocaecal valve.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Uppal K, Tubbs RS, Matusz P, Shaffer K, Loukas M. Meckel\u2019s diverticulum: a review. Clin Anat. 2011;24:416-422.<\/li>\n<li style=\"text-align: justify;\">Walczak DA, Falek W, Zakrzewski J. An uncommon location of Meckel\u2019s diverticulum or small intestine duplication? Case report and literature review. Pol Przegl Chir. 2011;83:457-460.<\/li>\n<li style=\"text-align: justify;\">Chan KW, Lee KH, Mou JW, Cheung ST, Tam YH. Laparoscopic management of complicated Meckel\u2019s diverticulum in children: a 10-year review. Surg Endosc 2008;22(6):1509-1512.<\/li>\n<li style=\"text-align: justify;\">De Beule T, Op de Beeck K, De Hertogh G, Sergeant G, Maleux G. CT diagnosis of a post-embolization ischemic diverticulitis of Meckel. Acta Radiol Short Rep 2014;3(9):2047981614531954.<\/li>\n<li style=\"text-align: justify;\">Soltero MJ, Bill AH. The natural history of Meckel\u2019s Diverticulum and its relation to incidental removal. A study of 202 cases of diseased Meckel\u2019s Diverticulum found in King County, Washington, over a fifteen year period. Am J Surg 1976;132:168-173.<\/li>\n<li style=\"text-align: justify;\">Park JJ, Wolff BG, Tollefson MK, Walsh EE, Larson DR. Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950-2002). Ann Surg 2005;241(3):529-533.<\/li>\n<li style=\"text-align: justify;\">Arnold JF, Pellicane JV. Meckel\u2019s diverticulum: a ten-yearexperience. Am Surg 1997; 63(4):354-355.<\/li>\n<li style=\"text-align: justify;\">Ferranti F, Mondini O, Valle P, Castagnoli P. Meckel\u2019s diverticulum: ten years experience, G Chir, 1999, 20(3):107\u2013112.<\/li>\n<li style=\"text-align: justify;\">Sagar J, Kumar K, Shah D K. Meckel\u2019s diverticulum: a systematic review<strong>. <\/strong>J R Soc Med 2006;99:501\u2013505<\/li>\n<li style=\"text-align: justify;\">Standring S, ed. Gray\u2019s Anatomy. The anatomical basis of clinical practice. 39th Ed., London, Elsevier Churchill Livingstone. 2005;1167.<\/li>\n<li style=\"text-align: justify;\">L\u00fcdtke FE, Mende V, K\u00f6hler H, Lepsien G. Incidence and frequency of complications and management of Meckels diverticulum. Surg Gynecol Obstet. 1989;169:537-542.<\/li>\n<li style=\"text-align: justify;\">Di Giacomo JC, Cottone FJ. Surgical treatment of Meckel\u2019s diverticulum. South Med J 1993;86:671-675.<\/li>\n<li style=\"text-align: justify;\">Bemelman WA, Hugenholtz E, Heij HA, Wiersma PH, Obertop H, Meckel\u2019s diverticulum in Amsterdam: experience in 136 patients. World J Surg 1995;19(5):734-737.<\/li>\n<li style=\"text-align: justify;\">More TC, Omphalomesenteric duct malformation. Semin Pediatr Surg 1996;5(2):116-123.<\/li>\n<li style=\"text-align: justify;\">Arnold JF, Pellicane JV. Meckel\u2019s diverticulum: a ten year experience. Am Surg. 1997;63:354-355.<\/li>\n<li style=\"text-align: justify;\">Mackey WC, Dineen P. A fifty year experience with Meckel\u2019s diverticulum. Surg Gynecol Obstet 1983;156:56-64.<\/li>\n<li style=\"text-align: justify;\">Cullen JJ, Kelly KA, Moir CR, Hodge DO, Zinsmeister AR, Melton LJ 3rd. Surgical management of Meckel\u2019s diverticulum. An epidemiologic, population-based study. Ann Surg 1994;220;564-569.<\/li>\n<li style=\"text-align: justify;\">Williams RS. Management of Meckel\u2019s diverticulum. Br J Surg 1981;68:477-480.<\/li>\n<li style=\"text-align: justify;\">Stone PA, Hofeldt MJ, Lohan JA, Kessel JW, Flaherty SK. A rare case of massive gastrointestinal hemorrhage caused by Meckel\u2019s diverticulumin a 53-year-old man. W V Med J 2005;101:64\u201366.<\/li>\n<li style=\"text-align: justify;\">Lichtstein DM, Herskowitz B. Massive gastrointestinal bleeding from Meckel\u2019s diverticulum in a 91-year-old man. South Med J 1998;91:753-754.<\/li>\n<li style=\"text-align: justify;\">Fich A, Talley NJ, Shorter RG, Phillips SF. Does Helicobacter pylori colonize the gastric mucosa of Meckel\u2019s diverticulum? Mayo Clin Proc 1990;65:187-191.<\/li>\n<li style=\"text-align: justify;\">Hill P, Rode J. Helicobacter pylori in ectopic gastric mucosa in Meckel\u2019s diverticulum. Pathology 1998;30:7-9.<\/li>\n<li style=\"text-align: justify;\">Shalaby RY, Soliman SM, Fawy M, Samaha A. Laparoscopic management of Meckel\u2019s diverticulum in children. J Pediatr Surg 2005;40:562-7.<\/li>\n<li style=\"text-align: justify;\">Daneman A, Lobo E, Alton DJ, Shuckett B. The value of sonograhpy, CT and air enema for detection of complicated Meckel\u2019s divertuculum in children with nonspecific clinical presentation. Pediatr radiol 1998;28:928-932.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Subhalakshmi Wahengbam, Thonthon Daimei, Keisam Anupama Devi, Joyce Tunglut. MECKEL\u2019S DIVERTICULUM: THE INCIDENCE, GROSS AND MICROSCOPIC FEATURES; A CADAVERIC STUDY. Int J Anat Res 2018;6(3.1):5477-5480.\u00a0<strong>DOI:\u00a0<\/strong>10.16965\/ijar.2018.249\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 6; Issue 3.1 (July 2018) Page No.:\u00a05477-5480 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2018.249 MECKEL\u2019S DIVERTICULUM: THE INCIDENCE, GROSS AND MICROSCOPIC FEATURES; A CADAVERIC STUDY Subhalakshmi Wahengbam 1, Thonthon Daimei *2, Keisam Anupama Devi 2, Joyce Tunglut 3. 1 Associate Professor, Department of Anatomy, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Imphal, Manipur, India. *2 Assistant<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2018-249\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1383"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=1383"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1383\/revisions"}],"predecessor-version":[{"id":1416,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1383\/revisions\/1416"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=1383"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}