Sancar Serpil, Demirci Hakan, Sayan Ali, Arıkan Ahmet, Candar Ali
Clinic of Pediatric Surgery, Şevket Yılmaz Training and Research Hospital, Bursa, Turkey.
Clinic of Family Practice, Şevket Yılmaz Training and Research Hospital, Bursa, Turkey.
Ulus Cerrahi Derg. 2015 Jun 1;31(2):65-7. doi: 10.5152/UCD.2015.2834. eCollection 2015.
To evaluate the demographics and characteristics of children with Meckel's diverticulum (MD).
In this retrospective study, we analyzed the medical records of all children who were treated for MD in the department of pediatric surgery of Tepecik Training and Research Hospital over a period of 10 years (1995-2004). Age, gender, clinical manifestations, diagnostic approaches, and histopathological reports were documented.
In total, 57 children were diagnosed with MD. Of these, 40 children were treated surgically. Furthermore, 26 had acute abdomen, 15 had intestinal obstruction, 10 had rectal bleeding, and 6 had some other diagnosis. The mean age of the boys (n=43) was 4.77±3.82 years, whereas that of the girls (n=14) was 3.85±3.67 years. Histopathological examination revealed ectopic mucosa in 9 patients, omphalomesenteric duct remnants in 4 patients, diverticulitis in 24 patients, and ulcerations in 14 patients.
The prevalence of MD was 1.6%. Boys were approximately 3 times more commonly affected than girls. In most cases, the initial diagnosis was acute abdomen and the presenting symptoms on admission were intestinal obstruction and rectal bleeding.
评估梅克尔憩室（MD）患儿的人口统计学特征和特点。
在这项回顾性研究中，我们分析了特佩奇克培训与研究医院小儿外科10年间（1995 - 2004年）所有因MD接受治疗的患儿的病历。记录了年龄、性别、临床表现、诊断方法和组织病理学报告。
总共57名患儿被诊断为MD。其中，40名患儿接受了手术治疗。此外，26名有急腹症，15名有肠梗阻，10名有直肠出血，6名有其他诊断。男孩（n = 43）的平均年龄为4.77±3.82岁，而女孩（n = 14）的平均年龄为3.85±3.67岁。组织病理学检查显示9例有异位黏膜，4例有卵黄管残余，24例有憩室炎，14例有溃疡形成。
MD的患病率为1.6%。男孩受影响的频率约为女孩的3倍。在大多数情况下，初始诊断为急腹症，入院时的表现症状为肠梗阻和直肠出血。
