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July 1960

Meckel's DiverticulumVaried Surgical Manifestations in Twenty Cases

Author Affiliations

US Army
From the Department of Surgery and General Surgery Service, Tripler U.S. Army Hospital, Honolulu, Hawaii.

Arch Surg. 1960;81(1):36-44. doi:10.1001/archsurg.1960.01300010038005

Meckel's diverticulum may cause intestinal obstruction, intussusception, hemorrhage, or perforation, or it may be the site of aberrant gastric mucosa, pancreatic tissue, or carcinoid tumor. An accurate preoperative diagnosis rarely is made, the patient usually coming to surgery because of "acute surgical abdomen," intestinal obstruction of unknown cause or acute appendicitis. Even in the presence of acute appendicitis, it is not unheard of to find an additional pathologic process coexisting in Meckel's diverticulum. It is the purpose of this paper to present 20 cases of Meckel's diverticulum found at operation at Tripler U.S. Army Hospital between June, 1956, and July, 1959, with special emphasis on 5 cases which demonstrate the various pathologic complications commonly associated.

Report of Cases 

Case 1.  —A 32-year-old white man was admitted on June 16, 1959, with a 48-hour history of abdominal pain of increasing severity with localization to the right lower quadrant of his abdomen.

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