ArticlePediatric surgery international2025
Meckel's diverticulum: differences in clinical features between children and adults.
Article in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Imaging of ectopic gastric mucosa in Meckel's diverticulum: A case report and literature review.Radiology case reports · 2026Article
- Acute Gastrointestinal Hemorrhage Caused by Meckel's Diverticulum.Digestive diseases and sciences · 2026Article
- Atypical presentation of Meckel's diverticulum in late childhood with dual ectopic gastric and pancreatic mucosa: a case report.Journal of surgical case reports · 2026Article
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Authors and funding
12 authors.
Funding
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Abstract
purposeThe objectives were to describe and to compare the clinical features of patients with MD in terms of demographic data, clinical presentation, investigations, treatment, histopathology, and postoperative complications between children and adults.
methodsPatients with MD were retrospectively reviewed from two tertiary hospitals (2002-2021). These included patients with symptomatic MD and patients whose MD was incidentally found during operations. Demographic data, clinical presentation, investigation, treatment, histopathology, and postoperative complications were reviewed.
resultsA total of 123 cases with MD (69 children vs 54 adults) were studied. Of 69 children with MD, symptomatic MD was reported in 48 cases (69.6%). Lower GI bleeding was the most common presentation (52.1%), followed by obstruction (29.1%), umbilical problems (10.4%), and diverticulitis (8.3%). For children with bleeding MD (25 cases), Meckel scan was an important investigation to confirm the diagnosis, with a sensitivity value of 95%. Of 54 adults with MD, symptomatic MD was recorded in 30 cases (55.6%). Diverticulitis was the most common presentation (46.7%), followed by obstruction (30.0%), GI bleeding (20.0%), and umbilical problems (3.3%). For incidentally found MD during operations, 80% were resected. Interestingly, ectopic gastric tissue was found in 27.4% of the resected MD specimens. Moreover, there was no significant difference in postoperative complications between patients with symptomatic MD and patients with incidentally found MD.
conclusionThe most common symptom of MD was lower GI bleeding in children, and diverticulitis in adults. Meckel scan is an important tool to investigate bleeding MD. Since ectopic gastric tissue was found in 19% of asymptomatic MD, our findings seem to support the concept of resection of MD incidentally found during the operations.
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