World Journal of Surgery

, Volume 28, Issue 9, pp 917–920 | Cite as

Meckel’s Diverticulum: Comparison of Incidental and Symptomatic Cases

  • Kamal E. Bani-HaniEmail author
  • Nawaf J. Shatnawi
Original Scientific Reports


Although Meckel’s diverticulum is the commonest congenital gastrointestinal anomaly, there is still debate concerning the proper management of asymptomatic diverticula. Records of all patients whose Meckel’s diverticulum was resected at our hospitals between 1990 and 2002 were reviewed. Clinical characteristics, mode of presentations, and management for all patients were analyzed. Meckel’s diverticula were resected in 68 patients. Patients were divided into two groups: the incidental group included 40 patients (24 males) in whom the diagnosis of diverticula was incidental. The symptomatic group included 28 patients (20 males) who presented with diverticulum-related complications. Preoperative diagnosis was possible in only four cases. In four patients from the symptomatic group, Meckel’s diverticula were found and left untouched during a previous laparotomy. There was no significant difference between the two groups with respect to gender (p = 0.48). Patients in the symptomatic group were significantly younger than patients in the incidental group (p = 0.002). The diverticula in the symptomatic group tended to be longer (p = 0.001) with a narrower base (p = 0.001) than the diverticula in the incidental group. A diameter of ≤ 2 cm was significantly associated with more complications (p = 0.01). Heterotopic tissue was present more significantly in the symptomatic group than the incidental group (p = 0.01). There was no significant difference in the morbidity rate between the two groups (p = 0.71), and there was no mortality in either group. Preoperative diagnosis of Meckel’s diverticulum is difficult and should be kept in mind in cases of acute abdomen. Resection of incidentally found diverticula is not associated with increased operative morbidity or mortality.


Diverticulitis Intussusception Symptomatic Group Incidental Group Heterotopic Gastric Mucosa 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



The authors thank Professor Anwar Batiha, Department of Public Health, Jordan University of Science and Technology, for his help in the statistical work.


  1. 1.
    Meckel JF. Uber die divertikel am darmkanal. Arch. Physiol. 1809;9:421–453Google Scholar
  2. 2.
    Turgeon, DK, Barnett, JL 1990Meckel’s diverticulumAm. J. Gastroenterol.85777781PubMedGoogle Scholar
  3. 3.
    Yahchouchy, EK, Marano, AF, Etienne, JC,  et al. 2001Meckel’s diverticulumJ. Am. Coll. Surg.192658662CrossRefPubMedGoogle Scholar
  4. 4.
    Cullen, JJ, Kelly, KA, Moir, CR,  et al. 1994Surgical management of Meckel’s diverticulum: an epidemiologic, population-based studyAnn. Surg.220564568PubMedGoogle Scholar
  5. 5.
    Soltero, MJ, Bill, AH 1976The natural history of Meckel’s diverticulum and its relation to incidental removalAm. J. Surg.132168173CrossRefPubMedGoogle Scholar
  6. 6.
    Mackey, WC, Dineen, P 1983A fifty year experience with Meckel’s diverticulumSurg. Gynecol. Obstet.1565664PubMedGoogle Scholar
  7. 7.
    Leijonmarck, CE, Bonman-Sandelin, K, Frisell, J,  et al. 1986Meckel’s diverticulum in the adultBr. J. Surg.73146149PubMedGoogle Scholar
  8. 8.
    Rutherford, RB, Akers, DR 1966Meckel’s diverticulum: a review of 148 pediatric patients, with special reference to the pattern of bleeding and to mesodiverticular vascular bandsSurgery59618626PubMedGoogle Scholar
  9. 9.
    Aarnio, P, Salonen, IS 2000Abdominal disorders arising from 71 Meckel’s diverticulumAnn. Chir. Gynaecol.89281284PubMedGoogle Scholar
  10. 10.
    Fa-Si-Oen, PR, Roumen, RM, Croiset van Uchelen, FA 1999Complications and management of Meckel’s diverticulum: a reviewEur. J. Surg.165674678CrossRefPubMedGoogle Scholar
  11. 11.
    Garretson, DC, Frederich, ME 1990Meckel’s diverticulumAm. Fam. Physician42115119PubMedGoogle Scholar
  12. 12.
    Ludtke, FE, Mende, V, Kohler, H,  et al. 1989Incidence and frequency of complications and management of Meckel’s diverticulumSurg. Gynecol. Obstet.169537542PubMedGoogle Scholar
  13. 13.
    Miele, V, Cicco, ML, Andreoli, C,  et al. 2001US and CT findings in complicated Meckel diverticulumRadiol. Med. (Torino)101230234Google Scholar
  14. 14.
    Hughes, JA, Hatrick, A, Rankin, S 1998Computed tomography findings in an inflamed Meckel diverticulumBr. J. Radiol.71882883PubMedGoogle Scholar
  15. 15.
    Kusumoto, H, Yoshida, M, Takahashi, I,  et al. 1992Complications and diagnosis of Meckel’s diverticulum in 776 patientsAm. J. Surg.164382383PubMedGoogle Scholar
  16. 16.
    Emamian, SA, Shalaby-Rana, E, Majd, M 2001The spectrum of heterotopic gastric mucosa in children detected by Tc-99m pertechnetate scintigraphyClin. Nucl. Med.26529535CrossRefPubMedGoogle Scholar
  17. 17.
    Heinzelmann, M, Schob, O, Schlumpf, R,  et al. 1994Preoperative diagnosis of Meckel’s diverticulum by pertechnetate scan and laparoscopic resectionSurg. Laparosc. Endosc.4378381PubMedGoogle Scholar
  18. 18.
    Mitchell, AW, Spencer, J, Allison, DJ,  et al. 1998Meckel’s diverticulum: angiographic findings in 16 patientsAJR Am. J. Roentgenol.17013291333PubMedGoogle Scholar
  19. 19.
    Lin, PH, Koffron, AJ, Heilizer, TJ,  et al. 2000Gastric adenocarcinoma of Meckel’s diverticulum as a cause of colonic obstructionAm. Surg.66627630PubMedGoogle Scholar
  20. 20.
    Romano, F, Franciosi, C, Cerea, K,  et al. 2001A case of carcinoid of Meckel’s diverticulum associated with gastric adenocarcinomaTumori87272275PubMedGoogle Scholar
  21. 21.
    Minimo, C, Talerman, A 1998Villous adenoma arising in Meckel’s diverticulumJ. Clin. Pathol.51485486PubMedGoogle Scholar
  22. 22.
    Shimizu, N, Kuramoto, S, Mimura, T,  et al. 1997Leiomyosarcoma originating in Meckel’s diverticulum: report of a case and a review of 59 cases in the English literatureSurg. Today27546549Google Scholar
  23. 23.
    Ymaguchi, M, Takeuchi, S, Awazu, S 1978Meckel’s diverticulum: investigation of 600 patients in Japanese literatureAm. J. Surg.136247249CrossRefPubMedGoogle Scholar
  24. 24.
    Groebli, Y, Bertin, D, Morel, P 2001Meckel’s diverticulum in adults: retrospective analysis of 119 cases and historical reviewEur. J. Surg.167518524CrossRefPubMedGoogle Scholar
  25. 25.
    Peoples, JB, Lichtenberger, EJ, Dunn, MM 1995Incidental Meckel’s diverticulectomy in adultsSurgery118649652PubMedGoogle Scholar
  26. 26.
    Williams, RS 1981Management of Meckel’s diverticulumBr. J. Surg.68477480PubMedGoogle Scholar
  27. 27.
    DiGiacomo, JC, Cottone, FJ 1993Surgical treatment of Meckel’s diverticulumSouth. Med. J.86671675PubMedGoogle Scholar
  28. 28.
    Cranshaw, IM, Clark, MA, Shaw, JHF 2000Postoperative incisional fistula involving a Meckel’s diverticulumANZ J. Surg.70748749CrossRefGoogle Scholar
  29. 29.
    Zingg, U, Vorburger, S, Metzger, U 2000Perforation of Meckel’s diverticulum by a toothpickChirurg71841843CrossRefPubMedGoogle Scholar
  30. 30.
    Schmid, SW, Schafer, M, Krahenbuhl, L,  et al. 1999The role of laparoscopy in symptomatic Meckel’s diverticulumSurg. Endosc.1310471049CrossRefPubMedGoogle Scholar

Copyright information

© Société Internationale de Chirurgie 2004

Authors and Affiliations

  1. 1.Department of Surgery, Faculty of MedicineJordan University of Science and TechnologyIrbidJordan

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