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[含结石的梅克尔憩室炎引起的急腹症]

[Acute abdomen caused by inflammation of a Meckel's diverticulum containing a stone].

作者信息

Phillips F, Maiterth T

机构信息

Abt. Röntgendiagnostik der Radiologischen Universitätsklinik, Universitätskrankenhaus Hamburg-Eppendorf.

出版信息

Aktuelle Radiol. 1992 Jul;2(4):243-5.

PMID:1504125
Abstract

Meckel's diverticula have a prevalence of approx. 2% in the population. About 90% of them are clinically inapparent. Usual complications are a perforation of ectopic gastric mucosa (possibly with intestinal bleeding), an invagination and a volvulus. Etiology is normally revealed only by surgical exploration. Calculi are rarely found in Meckel's diverticula, males being afflicted much more often than females. The enterolith consists of calcified residues of food. Unexplained abdominal symptoms with an ileus situation should also be considered a Meckel's diverticulum containing enteroliths. This is especially so, if there are unidentified calcifications visible on the abdominal X-ray.

摘要

梅克尔憩室在人群中的患病率约为2%。其中约90%在临床上无明显症状。常见并发症有异位胃黏膜穿孔(可能伴有肠道出血)、肠套叠和肠扭转。病因通常仅通过手术探查才能明确。梅克尔憩室中很少发现结石,男性比女性更容易患病。肠石由食物的钙化残渣组成。伴有肠梗阻情况的不明原因腹部症状也应考虑为含有肠石的梅克尔憩室。如果腹部X线片上可见不明钙化,情况尤其如此。

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