Umbricht-Sprüngli R E, Hollinger A, Meier L, Largiadèr F
Chirurgische Abteilung, Kreisspital Männedorf.
Chirurg. 1992 Jul;63(7):568-71.
Three cases of small bowel diverticula are presented. In the first patient perforation of a congenital diverticulum in pars II of the duodenum occurred, the second case is the first description of bezoar in a duodenal diverticulum with bleeding of the diverticulum at the same time and the third patient suffered from ileus due to unusually large jejunal diverticulum. Up to 20% of all autopsied patients present duodenal diverticula. In other parts of small bowel diverticula are not as frequent. Most cases are asymptomatic and require no treatment. As soon as ailments occur, further investigations and probably surgical treatment is necessary. Perforation, bleeding and obstruction are indications for surgical interventions. The symptomatology is unspecific, therefore preoperative diagnosis is difficult. At least during the operation the possibility of small bowel diverticula and their complications should be considered. Till today complications of small bowel diverticula are affected with a mortality of 33-48%. More awareness of their existence could possibly improve this unfavourable outcome.
本文报告了三例小肠憩室病例。第一例患者为十二指肠第二部先天性憩室穿孔；第二例首次描述了十二指肠憩室内的胃石症，同时伴有憩室出血；第三例患者因异常巨大的空肠憩室导致肠梗阻。在所有接受尸检的患者中，高达20%存在十二指肠憩室。小肠其他部位的憩室则不那么常见。大多数病例无症状，无需治疗。一旦出现疾病，就需要进一步检查，可能还需要手术治疗。穿孔、出血和梗阻是手术干预的指征。症状不具特异性，因此术前诊断困难。至少在手术过程中，应考虑小肠憩室及其并发症的可能性。迄今为止，小肠憩室并发症的死亡率为33% - 48%。对其存在有更多认识可能会改善这一不良结果。
