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Article
September 1944

MECKEL'S DIVERTICULUMDYSPEPSIA MECKELI FROM HETEROTOPIC GASTRIC MUCOSA

Author Affiliations

MEDICAL CORPS, ARMY OF THE UNITED STATES

Arch Surg. 1944;49(3):156-166. doi:10.1001/archsurg.1944.01230020162002
Abstract

DEFINITION  The vitellointestinal duct is a communication between the midgut and the yolk sac of the embryo during the first few weeks of fetal life (fig. 1). Persistence of this duct or of portions of it gives rise to a deformity known as Meckel's diverticulum,1 so called after J. F. Meckel, who was the first to publish an adequate description of the anomaly, in 1812,2 though he had mentioned it in an earlier publication, in 1809.3 According to Lichtenstein,4 the diverticulum was mentioned by Hildanus in 1598. Lavater5 mentioned it in 1671.5 It was described by Littré in 1700 as being present in a hernia (Strohl and McArthur6). In the adult, Meckel's diverticulum usually rises from the antemesenteric portion of the ileum about 20 inches (50 cm.) proximal to the ileocecal valve, the distance being less directly as the age approaches infancy. However,

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