The potential dangers associated with Meckel's diverticulum are well recognized. Nevertheless, the management of the abnormality, when it is encountered incidentally during emergency operations performed for other conditions, is not standard. For example, it has been stated1 that excision of the lesion is contraindicated when other intra-abdominal organs are acutely inflamed. In Weinstein et al's2 series 30% of the diverticula were not resected since they were macroscopically normal and had wide mouths. It seemed worthwhile, therefore, to examine our results of 66 emergency Meckel's diverticulectomies.
The Case Material
The case material is summarized in the following tabulation:No. of Pathological Findings Cases Meckel's diverticula incidental to acute appendicitis 30 Intestinal Meckel's diverticula associated with obstruction 14 Crohn's disease 5 Gastrointestinal hemorrhage 4 Meckel's diverticulitis 5 Meckel's diverticula showing serosal vascular congestion, but otherwise normal 8 Total 66Of the four patients who presented with rectal hemorrhage, in two the
Aubrey DA. Meckel's DiverticulumA Review of Sixty-Six Emergency Meckel's Diverticulectomies. Arch Surg. 1970;100(2):144-146. doi:10.1001/archsurg.1970.01340200032007