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April 1956

Persistent Invagination of Meckel's DiverticulumA Cause of Chronic Intestinal Obstruction

Author Affiliations

New York
From the Department of Pathology, New York Veterans Administration Hospital.; Present address is Department of Pathology, State University of New York, State University Medical Center at New York.

AMA Arch Surg. 1956;72(4):673-677. doi:10.1001/archsurg.1956.01270220121016

Intestinal obstruction due to Meckel's diverticulum is generally portrayed as an illness of acute onset, often with rapid crippling of intestinal function.* It is evident, however, that in some instances this disorder follows a more deviate pattern, that intestinal obstruction due to Meckel's diverticulum may pursue a subtle recurrent chronic course.†

Meckel's diverticulum, present in 2% of persons, remains silent clinically in the wide majority of cases. This vestigial accessory of the intestine is generally perceived as an innocuous structure, a superfluous congenital anomaly. Its claim to significance usually consists of a remark in an autopsy protocol noting it as an incidental finding at necropsy. The concept that Meckel's diverticulum is a mere anatomical curiosity, although deeply rooted in medical thinking, is not entirely valid. It has become increasingly apparent that the importance of this intestinal anomaly has been underestimated. In recent decades more and more attention has been focused

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