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Case Reports
March 1928

PERFORATED GANGRENOUS MECKEL'S DIVERTICULUM IN A NEW-BORN INFANT: REPORT OF A CASE

Author Affiliations

PORTLAND, ORE.
From the Department of Pathology, University of Oregon Medical School.

Am J Dis Child. 1928;35(3):438-442. doi:10.1001/archpedi.1928.01920210083009
Abstract

The persistence of remains of the embryonic omphalomesenteric duct in the human being is by no means rare. The statistics compiled by Griffith1 show an incidence of from 1 to 2 per cent. Christopher2 gives the percentage as approximately 2 per cent, as found in autopsy statistics. The incidence in surgical practice varies considerably. In a study of 10,600 laparotomies at the Mayo Clinic, Balfour3 found only fifteen instances of Meckel's diverticulum (0.14 per cent). In abdominal operations Coleman4 has made a routine examination of the lower ileum whenever possible; in approximately 1,000 operations, he has found Meckel's diverticulum eighteen times (1.8 per cent). Nearly all writers have emphasized the predominance of the structure in males, the ratio being nearly 3 to 1.

The age at which Meckel's diverticulum may give rise to symptoms is of interest. Halstead5 states that obstruction from a diverticulum usually

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