EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57

Abstract

CROHN'S DISEASE WITHIN MECKEL'S DIVERTICULUM: CASE REPORT

Dr. Faten Limaiem* and Saadia Bouraoui

ABSTRACT

Meckel's diverticulum has been reported in patients with Crohn's disease with an incidence of 6 to 18.5%. The direct involvement of a Meckel's diverticulum by Crohn's disease is less common and is usually the result of contiguous spread. A 24-year-old male patient with no particular medical history, presented with severe abdominal pain for the past 24 hours. Abdominal examination revealed mild distension with generalized guarding and marked rebound tenderness. Computed tomography scan showed ileal wall thickening with partial obstruction. It also disclosed enlarged mesenteric lymph nodes. The patient underwent ileal resection and mesenteric lymphadenectomy. Grossly, the specimen consisted of a 28-cm segment of thickened ileum with a Meckel's diverticulum measuring 3 cm. Microscopic study revealed typical transmural Crohn's disease involving the ileum as well as Meckel's diverticulum, with narrow ulcerated fissures coated by granulation tissue, fibrin and polymorphonuclear leukocytes. The final pathological diagnosis was Meckel's diverticulum involved by the inflammatory lesions of Crohn's disease. Postoperative course was uneventful.

Keywords: Crohn's disease, Meckel's diverticulum, small intestine, pathology.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia