Articolul precedent |
Articolul urmator |
363 0 |
SM ISO690:2012 ŞCERBATIUC-CONDUR, Corina, SUMAN, Ala, MIŞINA, Ana, MIŞIN, Igor. Diverticulul meckel complicat în sarcină. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 452. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 452-452 | ||||||
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Rezumat | ||||||
Background. Diverticulum Meckel (DM) is one of the most common abnormalities of the gastrointestinal tract. It is a rare cause of acute abdomen in pregnancy and is a real diagnostic challenge. A limited number of unique cases are described in the literature. Objective of the study. Research of the specialty literature and highlighting the particularities of evolution, diagnostic characteristics and management of the complicated DM in pregnancy. Material and Methods. Analysis of bibliographic sources and available data from PubMed and Google Scholar using the mesh terms: "Meckel diverticulum", "acute abdomen", "pregnancy", "complicated Meckel diverticulum", "symptomatic Meckel diverticulum" with the identification of 31 cases of complicated DM in pregnancy reported in the period 1949-2019. Results. The age of the patients ranged from 14 to 35 years, the mean age - 25.6 ± 0.9 years. Term of gestation: 1st trimester (n=2), 2nd trimester (n=14), 3rd trimester (n=13). In 4 cases the diagnosis of complicated DM was established preoperatively. Management of symptomatic DM is elective surgical, in one case - conservative approach with surgical intervention 4 months postpartum. Intraoperative picture: perforation, diverticulitis, invagination, obstruction and torsion. At histological examination ectopic tissue: pancreatic - 2 cases, gastric - 1, gastric and pancreatic - 1. Most cases fullterm birth, concomitant cesarean section - 3 cases, premature birth - 2. Conclusion. Complicated DM in pregnancy is rare and becomes a diagnostic challenge. The usefulness of imaging methods is not demonstrated. The management of DM in pregnancy does not differ from the usual strategy, the volume of surgery being dependent on the intraoperative findings. |
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Cuvinte-cheie Meckel Diverticulum, complication, pregnancy, diverticul Meckel, complicaţie, sarcina |
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