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August 1966

Surgery for Meckel's Diverticulum in the AdultFactors in Morbidity and Mortality

Author Affiliations

From the Surgical Service, Wadsworth Hospital, Veterans Administration Center, and the Department of Surgery, University of California, Los Angeles, School of Medicine, Los Angeles.

Arch Surg. 1966;93(2):315-318. doi:10.1001/archsurg.1966.01330020107017

MECKEL'S diverticulum is rarely encountered in the adult patient. When discovered incidentally at operation, excision is safe and simple. It is not generally recognized, however, that surgery performed specifically for Meckel's diverticulum in the adult is often extensive and is attended by a high mortality.

This report deals with an analysis of 22 cases of Meckel's diverticulum treated at the Wadsworth Veterans Administration Hospital between 1950 and 1965. A comparison is made between patients whose diverticulum was symptomatic and those who had incidental excision. Three cases are presented which illustrate factors contributing to the high mortality and morbidity in the former group.

Case Material  Excision of a Meckel's diverticulum was performed in one female and 21 male patients. Their ages ranged from 19 years to 93 years with an approximately equal number in each decade. Surprisingly, 13 patients were operated on for symptoms produced by the diseased diverticulum whereas in

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