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PATENT OMPHALOMESENTERIC DUCT AND ITS RELATION TO THE DIVERTICULUM OF MECKEL

PATENT OMPHALOMESENTERIC DUCT AND ITS RELATION TO THE DIVERTICULUM OF MECKEL Abstract MECKEL'S diverticulum and the patent omphalomesenteric duct are the consequence of the same defect in embryologic development, differing only in the extent to which the omphalomesenteric duct fails to obliterate. Although Meckel's diverticulum is relatively common, with a frequency of 1 to 2 per cent,1 the patent omphalomesenteric, or vitelline, duct is a rare anomaly. Two patients with complete patency of the omphalomesenteric duct have been treated at the University of Chicago Clinics and were the only patients with this condition in over 30,000 births at the Chicago Lying-In Hospital of the University of Chicago during the past ten years. A review of the literature reveals 128 reported cases. An additional case has been observed elsewhere,2 bringing the total number of cases of patent omphalomesenteric, or vitelline, duct to 131. The most important and serious aspect of this anomaly is the complication of prolapse of the intestine externally References 1. (a) Christie, A.: Meckel's Diverticulum: A Pathologic Study of Sixty-Three Cases , Am. J. Dis. Child. 42:544 ( (Sept.) ) 1931.Crossref 2. (b) Cullen, T. S.: Embryology, Anatomy, and Diseases of the Umbilicus Together with Diseases of the Urachus , Philadelphia, W. B. Saunders Company, 1916. 3. (c) Griffith, J. P.: Diseases Connected with Meckel's Diverticulum with Especial Reference to Diverticulitis , J. A. M. A. 62:1624 ( (May 23) ) 1914.Crossref 4. (d) Harbin, R. M.: Meckel's Diverticulum , Surg., Gynec. & Obst. 51:863, 1930. 5. (e) Lichtenstein, M. E.: Meckel's Diverticulum , Quart. Bull., Northwestern Univ. M. School 15:296, 1941. 6. Dr. J. E. Morgan, Cleveland. 7. Neff, G.: Das Meckelsche Divertikel , Ergebn. d. Chir. u. Orthop. 30:227, 1937. 8. Begg, R. C.: The Urachus and Umbilical Fistulae , Surg., Gynec. & Obst. 45:165, 1927. 9. Hammond, G.; Yglesias, L., and Davis, J. E.: Urachus: Its Anatomy and Associated Fascia , Anat. Rec. 80:271, 1941. 10. (a) Fraser, J., and McCartney, J. E.: A Case of Persistent Vitelline Artery: Fatal Intra-Abdominal Hemorrhage from Rupture of the Vessel , Brit. J. Surg. 8:478, 1921. 11. (b) Smithy, H. G., and Chamberlin, J. A.: Persistence of the Vitelline (Omphalomesenteric) Artery as a Clinical Problem , Surg., Gynec. & Obst. 82:579, 1946 12. Cavazzini, T.: Sopra un caso di persistenza dell dotto omfalomesenterico nell'ombelico , Gazz. d. osp. 21:472, 1900. 13. Rupp, A.: Ein Fall von persistierenden Ductus omphaloentericus , München. med. Wchnschr. 58:85, 1911. 14. (a) Auslander, M. M., and McClure, L.: Patent Omphalomesenteric Duct Associated with Incompletely Patent Urachus , Am. J. Dis. Child. 40:1276 ( (Dec.) ) 1930. 15. (b) Davis, H. H., and Niehaus, F. W.: Persistent Omphalomesenteric Duct and Urachus in the Same Case , J. A. M. A. 86:685 ( (March 6) ) 1926. 16. (c) Diessl, F.: Ein Fall von Dottergangfistel , Deutsche Ztschr. f. Chir. 201:266, 1927. 17. Cullen,1b p. 492. 18. (e) Lexer, E.: Ueber die Behandlung der Urachusfistel , Arch. f. Chir. 57:73, 1898. 19. (a) Crymble, P. T.: A Case of Persistent Vitelline Duct Attached to the Vermiform Appendix , Brit. J. Surg. 9:304, 1921 20. A Remarkable Vitelline Duct , Lancet 1:1143, 1921. 21. (b) Hadley, M. N., and Cogswheel, H. D.: Unusual Origin of a Meckel's Diverticulum from the Base of the Appendix , J. A. M. A. 106:537 ( (Feb. 15) ) 1936. 22. (c) Walthard, B.: Ueber die Kombination von Nabelfistel und Verdoppelung des Wurmfortsatzes , Deutsche Ztschr. f. Chir. 230:413, 1931. 23. (d) Wollmann, B.: Ueber kongenitale Nabelfisteln und Missbildungen des Ductus omphalomesentericus , Deutsche med. Wchnschr. 52:105, 1926. 24. Jackson, C. M., and Blount, R. F.: Morris' Human Anatomy , ed. 10, Philadelphia, The Blakiston Company 1942. 25. Chaffin, L.: Surgical Emergencies During Childhood Caused by Meckel's Diverticulum , Tr. West. S. A. 49:143, 1939. 26. Tisdall, F. F.: An Unusual Meckel's Diverticulum as a Cause of Intestinal Hemorrhage , Am. J. Dis. Child. 36:1218 ( (Dec.) ) 1928. 27. Moll, H. H.: Giant Meckel's Diverticulum , Brit. J. Surg. 14:176, 1926Crossref 28. von Rokitansky, L.: Lehrbuch der pathologischen Anatomie, 1861, vol. 3, p. 182 29. Pollard, B.: A Diverticulum Ilei of Unusual Length and Position , Tr. Path. Soc. London 47:47, 1896 30. Ladd, W. E., and Gross, R. E.: Surgical Treatment of Duplications of the Alimentary Tract: Enterogenous Cysts, Enteric Cysts, or Ileum Duplex , Surg., Gynec. & Obst. 70:295, 1940. 31. (a) Curd, H. H.: A Histologic Study of Meckel's Diverticulum with Special Reference to Heterotopic Tissues , Arch. Surg. 32:506 ( (March) ) 1936. 32. (b) Fitz, R.: Persistent Omphalomesenteric Remains: Their Importance in the Causation of Intestinal Duplication, Cyst-Formation, and Obstruction , Am. J. M. Sc. 88:30, 1884. 33. (c) Hudson, H. W.: Meckel's Diverticulum in Children: Second Clinical and Pathologic Study with a Report of Thirteen Additional Cases , New England J. Med. 208:525, 1933. 34. (d) Kaspar, F.: Ein Cylindrom des Meckelschen Divertikels , Deutsche Ztschr. f. Chir. 128:612, 1914. 35. (e) King, T. W.: Feculent Discharge at the Umbilicus from Communication with the Diverticulum Ilei , Guy's Hosp. Rep. 8:467, 1843. 36. Doepfner, K.: Beiträge zur Kenntnis des Meckelschen Divertikels , Deutsche Ztschr. f. Chir. 109:396, 1911. 37. Abt. I. A., and Strauss, A. A.: Meckel's Diverticulum as a Cause of Intestinal Hemorrhage , J. A. M. A. 87:991 ( (Sept. 25) ) 1926. 38. Lamb, D. S.: The Meckel Diverticulum , Am. J. M. Sc. 105:633, 1893. 39. (b) Konig, P.: Zur Therapie der Dottergangfistel , Therap. Rundschau 2:679, 1908. 40. (c) Meckel, J. F.: Ueber die Divertikel am Darmkanal , Arch. f. d. Physiol. 9:421, 1809. 41. Barrington-Ward, L.: The Abdominal Surgery of Children , London, Oxford University Press, 1937. 42. Matt, J. G., and Timpone, P. J.: Peptic Ulcer of Meckel's Diverticulum: Case Report with Review of Literature , Am. J. Surg. 47:612, 1940. 43. Schaetz, G.: Beiträge zur Morphologie des Meckel'schen Divertikels , Beitr. z. path. Anat. u. z. allg. Path. 74:115, 1925. 44. Koch: Missbildungen des Magens und Darmes , in Henke, F., and Lubarsch, O.: Handbuch des speziellen pathologischen Anatomie und Histologie , Berlin, Julius Springer, 1926, vol. 4 45. Hudson, H. W., and Koplik, L. H.: Meckel's Diverticulum in Children: Clinical and Pathologic Study, with Report of Thirty-Two Cases , New England J. Med. 206:827, 1932. 46. Greenblatt, R. B.; Pund, E. R., and Chaney, R. H.: Meckel's Diverticulum; Analysis of Eighteen Cases with Report of One Tumor , Am. J. Surg. 31:285, 1936. 47. Zenker, F. A.: Nebenpancreas in der Darmwand , Virchows Arch. f. path. Anat. 21:369, 1861. 48. Tillmans, H.: Ueber angeborenen Prolaps von Magenschleimhaus durch den Nabelring (Ectopia ventriculi) und ueber sonstige Geschwulste und Fisteln des Nabels , Deutsche Ztschr. f. Chir. 18:161, 1882.Crossref 49. Hunt, V. C., and Bonesteel, H. T. S.: Meckel's Diverticulum Containing Aberrant Pancreas , Arch. Surg. 28:425 ( (March) ) 1934.Crossref 50. von Rosthorn: Ein Beitrag zur Kenntniss der angeborenen Nabelfisteln , Wien. klin. Wchnschr. 2:125, 1889 51. Dragstedt, L. R.: Ulcus Acidum of Meckel's Diverticulum , J. A. M. A. 101:20 ( (July 1) ) 1933.Crossref 52. Peterman, M. G., and Seeger, S. J.: Meckel's Diverticulum with Hemorrhage , Am. J. Dis. Child. 36:515 ( (Sept.) ) 1928. 53. (b) Nicholson, G. W.: Gastric Glands in the Extroverted Distal End of the Vitelline Duct , J. Path. & Bact. 25:201, 1922. 54. (c) Nicholson, G. W.: The Heteromorphoses in the Human Body , Guy's Hosp. Rep. 72:75, 1922. 55. Johnston, L. B., and Renner, G., Jr.: Peptic Ulcer of Meckel's Diverticulum , Surg., Gynec. & Obst. 49:198, 1934. 56. Johnston, L. B., and Renner, G., Jr.: Personal communication to the authors. 57. Maddock, W. G., and Coventry, M. B.: A Perforated Ulcer of the Ileum Opposite a Meckel's Diverticulum , Surg., Gynec. & Obst. 73:105, 1941. 58. Wellington, J. R.: Meckel's Diverticulum , Surg., Gynec. & Obst. 16:74, 1913. 59. Chaffin, L.: Surgical Emergencies during Childhood Caused by Meckel's Diverticulum , Ann. Surg. 113:47, 1941. 60. Christopher, F.: The Surgical Diseases of Meckel's Diverticulum , Internat. Clin. 1:67, 1925. 61. Edwards, H. C.: Diverticula and Diverticulitis of the Intestine , Baltimore, William Wood & Company, 1939. 62. Halstead, A. E.: Intestinal Obstruction from Meckel's Diverticulum , Ann. Surg. 35:471, 1902 63. Ladd, W. E., and Gross, R. E.: Abdominal Surgery of Infancy and Childhood , Philadelphia, W. B. Saunders Company, 1941. 64. Miller, R. H., and Wallace, R. H.: Meckel's Diverticulum in Acute Abdominal Emergencies , Ann. Surg. 98:713, 1933. 65. Poate, H. R. G.: Volvulus of Meckel's Diverticulum , Australia & New Zealand J. Surg. 2:351, 1938. 66. Womack, N. A., and Siegert, R. B.: Surgical Aspects of Lesions of Meckel's Diverticulum , Ann. Surg. 108:221, 1938. 67. Strohl, E. L., and McArthur, S. W.: Incarcerated Meckel's Diverticulum in Femoral Hernia , Arch. Surg. 38:783 ( (April) ) 1939. 68. Harkins, H. N.: Intussusception Due to Invaginated Meckel's Diverticulum: Report of 2 Cases with Study of 160 Cases Collected from Literature , Ann. Surg. 98:1070, 1933. 69. Collins, D. C.; Collins, F. K., and Andrews, V. L.: Ulcerating Carcinoid Tumor of Meckel's Diverticulum , Am. J. Surg. 40:454, 1938. 70. Faust, L. S.. and Walters, W.: Fibrosarcoma of Meckel's Diverticulum Producing Intestinal Hemorrhage , Minnesota Med. 14:233, 1931. 71. Golden, T., and Stout, A. P.: Smooth Muscle Tumors of the Gastro-Intestinal Tract and Retroperitoneal Tissues , Surg., Gynec. & Obst. 73:784, 1941. 72. Gray, H. K., and Kernohan, J. W.: Meckel's Diverticulum Associated with Intussusception and Adenocarcinoma of Ectopic Gastric Mucosa: Report of Case , J. A. M. A. 108:1480 ( (May 1) ) 1937. 73. Hertzog, A. J., and Carlson, L. A.: Carcinoid of Meckel's Diverticulum: Report of Two Cases , Arch. Path. 20:587 ( (Oct.) ) 1935. 74. Koucky, J. D., and Beck, W. C.: Perforated Leiomyoma of Meckel's Diverticulum: Report of Case , Surgery 10:636, 1941. 75. Nygaard, K. K., and Walters, W.: Malignant Tumors of Meckel's Diverticulum: Report of Case of Leiomyosarcoma , Arch. Surg. 35:1159 ( (Dec.) ) 1937. 76. Gile, J. F., and MacCarty, W. C., Jr.: Calcified Concretions Within Meckel's Diverticulum , Radiology 41:494, 1943. 77. Michael, P.: Tuberculosis of Meckel's Diverticulum , Arch. Surg. 25:1152 ( (Dec.) ) 1932. 78. Garrett, J. R.: Persistent Vitelline Duct in Twins , Brit. M. J. 1:645, 1918. 79. Mathews, F. S.: Meckel's Diverticulum , Arch. Surg. 10:720 ( (March) ) 1925. 80. Mikhelson, A. I.: Late Umbilical Fistulas in Children , Soviet. Med. 11:37, 1941. 81. Heflin, H. T., cited by Cullen,1b p. 492. 82. Buckstein, J.: Clinical Roentgenology of the Alimentary Tract , Philadelphia, W. B. Saunders Company, 1940, p. 329. 83. Case J. T.: Jejuno-Ileal Diverticula , Acta radiol. 6:230, 1926. 84. Dixon, J. F.; Deuterman, J. L., and Weber, H. M.: Diverticula of the Intestine , Surg., Gynec. & Obst. 66:314, 1938. 85. Pfahler, G. E.: The Roentgenologic Diagnosis of Meckel's Diverticulum , Surg., Gynec. & Obst. 59:929, 1934. 86. Prevot, R.: Meckelschen Divertikel im Rontgenbild , Röntgenpraxis 8:397, 1936. 87. Atcheson, O. W.: Patent Urachus, with a Report of Two Additional Cases , J. Urol. 33:408, 1935. 88. Cross, J. B.: Cyst of Urachus , J. Urol. 33:408, 1935. 89. Schneider, von Stadtfeld and Thutichum, cited by Neff.3 90. Jordan, cited by Neff.3 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

PATENT OMPHALOMESENTERIC DUCT AND ITS RELATION TO THE DIVERTICULUM OF MECKEL

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References (94)

Publisher
American Medical Association
Copyright
Copyright © 1947 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1947.01230070013002
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Abstract

Abstract MECKEL'S diverticulum and the patent omphalomesenteric duct are the consequence of the same defect in embryologic development, differing only in the extent to which the omphalomesenteric duct fails to obliterate. Although Meckel's diverticulum is relatively common, with a frequency of 1 to 2 per cent,1 the patent omphalomesenteric, or vitelline, duct is a rare anomaly. Two patients with complete patency of the omphalomesenteric duct have been treated at the University of Chicago Clinics and were the only patients with this condition in over 30,000 births at the Chicago Lying-In Hospital of the University of Chicago during the past ten years. A review of the literature reveals 128 reported cases. An additional case has been observed elsewhere,2 bringing the total number of cases of patent omphalomesenteric, or vitelline, duct to 131. The most important and serious aspect of this anomaly is the complication of prolapse of the intestine externally References 1. (a) Christie, A.: Meckel's Diverticulum: A Pathologic Study of Sixty-Three Cases , Am. J. Dis. Child. 42:544 ( (Sept.) ) 1931.Crossref 2. (b) Cullen, T. S.: Embryology, Anatomy, and Diseases of the Umbilicus Together with Diseases of the Urachus , Philadelphia, W. B. Saunders Company, 1916. 3. (c) Griffith, J. P.: Diseases Connected with Meckel's Diverticulum with Especial Reference to Diverticulitis , J. A. M. A. 62:1624 ( (May 23) ) 1914.Crossref 4. (d) Harbin, R. M.: Meckel's Diverticulum , Surg., Gynec. & Obst. 51:863, 1930. 5. (e) Lichtenstein, M. E.: Meckel's Diverticulum , Quart. Bull., Northwestern Univ. M. School 15:296, 1941. 6. Dr. J. E. Morgan, Cleveland. 7. Neff, G.: Das Meckelsche Divertikel , Ergebn. d. Chir. u. Orthop. 30:227, 1937. 8. Begg, R. C.: The Urachus and Umbilical Fistulae , Surg., Gynec. & Obst. 45:165, 1927. 9. Hammond, G.; Yglesias, L., and Davis, J. E.: Urachus: Its Anatomy and Associated Fascia , Anat. Rec. 80:271, 1941. 10. (a) Fraser, J., and McCartney, J. E.: A Case of Persistent Vitelline Artery: Fatal Intra-Abdominal Hemorrhage from Rupture of the Vessel , Brit. J. Surg. 8:478, 1921. 11. (b) Smithy, H. G., and Chamberlin, J. A.: Persistence of the Vitelline (Omphalomesenteric) Artery as a Clinical Problem , Surg., Gynec. & Obst. 82:579, 1946 12. Cavazzini, T.: Sopra un caso di persistenza dell dotto omfalomesenterico nell'ombelico , Gazz. d. osp. 21:472, 1900. 13. Rupp, A.: Ein Fall von persistierenden Ductus omphaloentericus , München. med. Wchnschr. 58:85, 1911. 14. (a) Auslander, M. M., and McClure, L.: Patent Omphalomesenteric Duct Associated with Incompletely Patent Urachus , Am. J. Dis. Child. 40:1276 ( (Dec.) ) 1930. 15. (b) Davis, H. H., and Niehaus, F. W.: Persistent Omphalomesenteric Duct and Urachus in the Same Case , J. A. M. A. 86:685 ( (March 6) ) 1926. 16. (c) Diessl, F.: Ein Fall von Dottergangfistel , Deutsche Ztschr. f. Chir. 201:266, 1927. 17. Cullen,1b p. 492. 18. (e) Lexer, E.: Ueber die Behandlung der Urachusfistel , Arch. f. Chir. 57:73, 1898. 19. (a) Crymble, P. T.: A Case of Persistent Vitelline Duct Attached to the Vermiform Appendix , Brit. J. Surg. 9:304, 1921 20. A Remarkable Vitelline Duct , Lancet 1:1143, 1921. 21. (b) Hadley, M. N., and Cogswheel, H. D.: Unusual Origin of a Meckel's Diverticulum from the Base of the Appendix , J. A. M. A. 106:537 ( (Feb. 15) ) 1936. 22. (c) Walthard, B.: Ueber die Kombination von Nabelfistel und Verdoppelung des Wurmfortsatzes , Deutsche Ztschr. f. Chir. 230:413, 1931. 23. (d) Wollmann, B.: Ueber kongenitale Nabelfisteln und Missbildungen des Ductus omphalomesentericus , Deutsche med. Wchnschr. 52:105, 1926. 24. Jackson, C. M., and Blount, R. F.: Morris' Human Anatomy , ed. 10, Philadelphia, The Blakiston Company 1942. 25. Chaffin, L.: Surgical Emergencies During Childhood Caused by Meckel's Diverticulum , Tr. West. S. A. 49:143, 1939. 26. Tisdall, F. F.: An Unusual Meckel's Diverticulum as a Cause of Intestinal Hemorrhage , Am. J. Dis. Child. 36:1218 ( (Dec.) ) 1928. 27. Moll, H. H.: Giant Meckel's Diverticulum , Brit. J. Surg. 14:176, 1926Crossref 28. von Rokitansky, L.: Lehrbuch der pathologischen Anatomie, 1861, vol. 3, p. 182 29. Pollard, B.: A Diverticulum Ilei of Unusual Length and Position , Tr. Path. Soc. London 47:47, 1896 30. Ladd, W. E., and Gross, R. E.: Surgical Treatment of Duplications of the Alimentary Tract: Enterogenous Cysts, Enteric Cysts, or Ileum Duplex , Surg., Gynec. & Obst. 70:295, 1940. 31. (a) Curd, H. H.: A Histologic Study of Meckel's Diverticulum with Special Reference to Heterotopic Tissues , Arch. Surg. 32:506 ( (March) ) 1936. 32. (b) Fitz, R.: Persistent Omphalomesenteric Remains: Their Importance in the Causation of Intestinal Duplication, Cyst-Formation, and Obstruction , Am. J. M. Sc. 88:30, 1884. 33. (c) Hudson, H. W.: Meckel's Diverticulum in Children: Second Clinical and Pathologic Study with a Report of Thirteen Additional Cases , New England J. Med. 208:525, 1933. 34. (d) Kaspar, F.: Ein Cylindrom des Meckelschen Divertikels , Deutsche Ztschr. f. Chir. 128:612, 1914. 35. (e) King, T. W.: Feculent Discharge at the Umbilicus from Communication with the Diverticulum Ilei , Guy's Hosp. Rep. 8:467, 1843. 36. Doepfner, K.: Beiträge zur Kenntnis des Meckelschen Divertikels , Deutsche Ztschr. f. Chir. 109:396, 1911. 37. Abt. I. A., and Strauss, A. A.: Meckel's Diverticulum as a Cause of Intestinal Hemorrhage , J. A. M. A. 87:991 ( (Sept. 25) ) 1926. 38. Lamb, D. S.: The Meckel Diverticulum , Am. J. M. Sc. 105:633, 1893. 39. (b) Konig, P.: Zur Therapie der Dottergangfistel , Therap. Rundschau 2:679, 1908. 40. (c) Meckel, J. F.: Ueber die Divertikel am Darmkanal , Arch. f. d. Physiol. 9:421, 1809. 41. Barrington-Ward, L.: The Abdominal Surgery of Children , London, Oxford University Press, 1937. 42. Matt, J. G., and Timpone, P. J.: Peptic Ulcer of Meckel's Diverticulum: Case Report with Review of Literature , Am. J. Surg. 47:612, 1940. 43. Schaetz, G.: Beiträge zur Morphologie des Meckel'schen Divertikels , Beitr. z. path. Anat. u. z. allg. Path. 74:115, 1925. 44. Koch: Missbildungen des Magens und Darmes , in Henke, F., and Lubarsch, O.: Handbuch des speziellen pathologischen Anatomie und Histologie , Berlin, Julius Springer, 1926, vol. 4 45. Hudson, H. W., and Koplik, L. H.: Meckel's Diverticulum in Children: Clinical and Pathologic Study, with Report of Thirty-Two Cases , New England J. Med. 206:827, 1932. 46. Greenblatt, R. B.; Pund, E. R., and Chaney, R. H.: Meckel's Diverticulum; Analysis of Eighteen Cases with Report of One Tumor , Am. J. Surg. 31:285, 1936. 47. Zenker, F. A.: Nebenpancreas in der Darmwand , Virchows Arch. f. path. Anat. 21:369, 1861. 48. Tillmans, H.: Ueber angeborenen Prolaps von Magenschleimhaus durch den Nabelring (Ectopia ventriculi) und ueber sonstige Geschwulste und Fisteln des Nabels , Deutsche Ztschr. f. Chir. 18:161, 1882.Crossref 49. Hunt, V. C., and Bonesteel, H. T. S.: Meckel's Diverticulum Containing Aberrant Pancreas , Arch. Surg. 28:425 ( (March) ) 1934.Crossref 50. von Rosthorn: Ein Beitrag zur Kenntniss der angeborenen Nabelfisteln , Wien. klin. Wchnschr. 2:125, 1889 51. Dragstedt, L. R.: Ulcus Acidum of Meckel's Diverticulum , J. A. M. A. 101:20 ( (July 1) ) 1933.Crossref 52. Peterman, M. G., and Seeger, S. J.: Meckel's Diverticulum with Hemorrhage , Am. J. Dis. Child. 36:515 ( (Sept.) ) 1928. 53. (b) Nicholson, G. W.: Gastric Glands in the Extroverted Distal End of the Vitelline Duct , J. Path. & Bact. 25:201, 1922. 54. (c) Nicholson, G. W.: The Heteromorphoses in the Human Body , Guy's Hosp. Rep. 72:75, 1922. 55. Johnston, L. B., and Renner, G., Jr.: Peptic Ulcer of Meckel's Diverticulum , Surg., Gynec. & Obst. 49:198, 1934. 56. Johnston, L. B., and Renner, G., Jr.: Personal communication to the authors. 57. Maddock, W. G., and Coventry, M. B.: A Perforated Ulcer of the Ileum Opposite a Meckel's Diverticulum , Surg., Gynec. & Obst. 73:105, 1941. 58. Wellington, J. R.: Meckel's Diverticulum , Surg., Gynec. & Obst. 16:74, 1913. 59. Chaffin, L.: Surgical Emergencies during Childhood Caused by Meckel's Diverticulum , Ann. Surg. 113:47, 1941. 60. Christopher, F.: The Surgical Diseases of Meckel's Diverticulum , Internat. Clin. 1:67, 1925. 61. Edwards, H. C.: Diverticula and Diverticulitis of the Intestine , Baltimore, William Wood & Company, 1939. 62. Halstead, A. E.: Intestinal Obstruction from Meckel's Diverticulum , Ann. Surg. 35:471, 1902 63. Ladd, W. E., and Gross, R. E.: Abdominal Surgery of Infancy and Childhood , Philadelphia, W. B. Saunders Company, 1941. 64. Miller, R. H., and Wallace, R. H.: Meckel's Diverticulum in Acute Abdominal Emergencies , Ann. Surg. 98:713, 1933. 65. Poate, H. R. G.: Volvulus of Meckel's Diverticulum , Australia & New Zealand J. Surg. 2:351, 1938. 66. Womack, N. A., and Siegert, R. B.: Surgical Aspects of Lesions of Meckel's Diverticulum , Ann. Surg. 108:221, 1938. 67. Strohl, E. L., and McArthur, S. W.: Incarcerated Meckel's Diverticulum in Femoral Hernia , Arch. Surg. 38:783 ( (April) ) 1939. 68. Harkins, H. N.: Intussusception Due to Invaginated Meckel's Diverticulum: Report of 2 Cases with Study of 160 Cases Collected from Literature , Ann. Surg. 98:1070, 1933. 69. Collins, D. C.; Collins, F. K., and Andrews, V. L.: Ulcerating Carcinoid Tumor of Meckel's Diverticulum , Am. J. Surg. 40:454, 1938. 70. Faust, L. S.. and Walters, W.: Fibrosarcoma of Meckel's Diverticulum Producing Intestinal Hemorrhage , Minnesota Med. 14:233, 1931. 71. Golden, T., and Stout, A. P.: Smooth Muscle Tumors of the Gastro-Intestinal Tract and Retroperitoneal Tissues , Surg., Gynec. & Obst. 73:784, 1941. 72. Gray, H. K., and Kernohan, J. W.: Meckel's Diverticulum Associated with Intussusception and Adenocarcinoma of Ectopic Gastric Mucosa: Report of Case , J. A. M. A. 108:1480 ( (May 1) ) 1937. 73. Hertzog, A. J., and Carlson, L. A.: Carcinoid of Meckel's Diverticulum: Report of Two Cases , Arch. Path. 20:587 ( (Oct.) ) 1935. 74. Koucky, J. D., and Beck, W. C.: Perforated Leiomyoma of Meckel's Diverticulum: Report of Case , Surgery 10:636, 1941. 75. Nygaard, K. K., and Walters, W.: Malignant Tumors of Meckel's Diverticulum: Report of Case of Leiomyosarcoma , Arch. Surg. 35:1159 ( (Dec.) ) 1937. 76. Gile, J. F., and MacCarty, W. C., Jr.: Calcified Concretions Within Meckel's Diverticulum , Radiology 41:494, 1943. 77. Michael, P.: Tuberculosis of Meckel's Diverticulum , Arch. Surg. 25:1152 ( (Dec.) ) 1932. 78. Garrett, J. 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Journal

Archives of SurgeryAmerican Medical Association

Published: Jan 1, 1947

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