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June 1945


Arch Surg. 1945;50(6):286-287. doi:10.1001/archsurg.1945.01230030297002

It has been estimated by various authors that the incidence of Meckel's diverticulum lies between 1 and 2 per cent. Of these certainly few cause symptoms, and the pathologic changes as listed by Hudson1 are certainly bizarre. Ochsner2 and Miller and Wallace3 have correlated pathologic observations and symptomatology. In young persons, hemorrhage secondary to actual ulceration is most common, while in the adult group intestinal obstruction as a result of inflammation or torsion is found most frequent.

None of these sources mention stones within the diverticulum as a possible pathologic finding. A review of the literature4 reveals this complication to be rare, and the present report is the eleventh recorded case of their occurrence. In 7 of these 11 cases the lesion gave rise to symptoms. And as might be expected from the acute type and location of pain together with the physical and laboratory findings,