Sales J P, Berger A, Barbier J P, Cugnenc P H
Service de Chirurgie Digestive, Hôpital Laennec, Paris.
J Chir (Paris). 1992 Feb;129(2):73-7.
The authors report ten cases of small bowel diverticulosis revealed by a complication in four cases. Aetiologic, pathological, clinical and therapeutic characteristics of this rare disease are reviewed. Main complications are perforations, intestinal obstruction and hemorrhage. The treatment was the resection of the segment of small intestine involved by complicated diverticula. Resection was followed by anastomosis or temporary enterostomy if there was an acute peritonitis. Uncomplicated diverticulae must be respected and left in place.
作者报告了10例小肠憩室病病例,其中4例因并发症而被发现。本文回顾了这种罕见疾病的病因、病理、临床和治疗特点。主要并发症为穿孔、肠梗阻和出血。治疗方法是切除受累于复杂憩室的小肠段。如果发生急性腹膜炎,则在切除后进行吻合术或临时肠造口术。对于无并发症的憩室,应予以保留。