Meckels Diverticulum: Wedge Excision vs Segmental Resection Anastomosis

Meckel's Diverticulum (MD) is the commonest congenital anomaly of the GI tract but it is rarely diagnosed in adults. Hence, there is no agreement on what sort of resection to be performed for symptomatic MD and if to resect incidentally discovered MD. Definitive surgery is the treatment for symptomatic MD; it includes diverticulectomy, wedge, and segmental resection. The integrity of diverticulum base and adjacent ileum and the presence and location of ectopic tissue within MD are important factors to determine which surgical procedure to be performed. Due to the rarity of this condition in adults, in this article review we included various presentations of MD and their subsequent surgical management. Generally speaking, we recommend considering the length of the diverticulum (longvs short) and width of the base (narrow vs broad) to determine the appropriate surgical strategy in emergency presentation of MD.