%0 Journal Article
%T Encountering Meckel's diverticulum in emergency surgery for ascaridial intestinal obstruction
%A Imtiaz Wani
%A Viliam £¿n¨¢bel
%A Ghulam Naikoo
%A Shadab Wani
%A Muddasir Wani
%A Abid Amin
%A Tariq Sheikh
%A Fazal Q Parray
%A Rauf A Wani
%J World Journal of Emergency Surgery
%D 2010
%I BioMed Central
%R 10.1186/1749-7922-5-15
%X A retrospective case review study of 14 children who had surgical intervention for symptomatic intestinal ascariasis having the presence of concomitant Meckel's diverticulum was done. The study was done at SMHS Hospital Srinagar, Kashmir.A total of the 14 children who had ascaridial intestinal obstruction with concomitant presence of Meckel's diverticulum were studied. Age of children ranged from 4-12 years, male:female ratio was 1.8:1. Nine patients had asymptomatic Meckel's diverticulum, whereas 5 patients with symptomatic signs were found in the course of emergency surgery for ascaridial intestinal obstruction.Meckel's diverticulum in intestinal ascariasis may pursue silent course or may be accompanied with complications of the diverticulitis, perforation or the gangrene. Incidental finding of the Meckel's diverticulum in the intestinal ascariasis should have removal.Though ascaris infestation is usually asymptomatic, ascariasis-related intestinal complications can be seen children with a high intestinal roundworm load. Presence of massive roundworm infestation in children may lead to symptomatic Meckel's diverticulum. High burden of intestinal roundworms, propensity to wander, size of the worm and the characteristics of Meckel's diverticulum constitute prerequisite for complications of Meckel's diverticulum. Surgical complications associated with Ascaris lumbricoides infection can be diverticulitis, gangrene or the perforation in the Meckel's diverticulum. Preoperative diagnosis of Meckel's diverticulum is often difficult. Incidental diverticulectomies in asymptomatic Meckel's diverticulum are considered safer [1,2]. The work was designed to study findings of concomitant Meckel's diverticulum who had surgical intervention for ascaridial intestinal obstruction in children.A retrospective case review study of 14 children who had surgical intervention for symptomatic ascaridial intestinal obstruction with the presence of the concomitant Meckel's diverticulum, was d
%U http://www.wjes.org/content/5/1/15