Schmid S W, Schäfer M, Krähenbühl L, Büchler M W
Department for Visceral and Transplantation Surgery, University Hospital of Berne, CH-3010 Berne, Switzerland.
Surg Endosc. 1999 Oct;13(10):1047-9. doi: 10.1007/s004649901167.
We report two cases of symptomatic Meckel's diverticulum in adults with recurrent abdominal pain and episodes of minor lower gastrointestinal bleeding. In case 1, the diagnosis was suggested by (99m)Tc pertechnetate scan and confirmed by laparoscopy; whereas in case 2, only diagnostic laparoscopy was performed because of suspected appendicitis. A segmental small bowel resection with attached diverticulum was performed extracorporeally after exteriorization through the umbilical port site in both cases.
我们报告了两例成人有症状的梅克尔憩室病例,患者有反复腹痛及轻度下消化道出血发作。病例1中,(99m)锝高锝酸盐扫描提示诊断,并经腹腔镜检查证实;而病例2中,因怀疑阑尾炎仅进行了诊断性腹腔镜检查。两例均通过脐部端口部位将病变外置后,在体外进行了带憩室的小肠节段切除术。