Anderson D J
Department of Surgery, Des Moines General Hospital, Iowa, USA.
J Am Osteopath Assoc. 2000 Jul;100(7):432-4.
Meckel's diverticulum is a common anomaly of the small intestine that occurs in approximately 2% of the population, often found incidentally at the time of abdominal exploration. Carcinoid tumors in a Meckel's diverticulum have been reported in only 111 cases. The author describes a patient who presented for elective cholecystectomy and who during laparoscopy was found to have an abnormal-appearing ileal diverticulum. The resected specimen contained a carcinoid tumor. The decision-making process in treating these patients is reviewed along with a discussion of the laparoscopic treatment of intra-abdominal pathologic conditions found incidentally at the time of elective surgery.
梅克尔憩室是小肠的一种常见异常,约2%的人群中会出现,常在腹部探查时偶然发现。梅克尔憩室内的类癌肿瘤仅有111例报道。作者描述了一名因择期胆囊切除术就诊的患者,在腹腔镜检查时发现回肠憩室外观异常。切除的标本中含有一个类癌肿瘤。本文回顾了治疗这些患者的决策过程,并讨论了择期手术时偶然发现的腹腔内病理状况的腹腔镜治疗。