Lin Chien-Hua, Hsieh Huan-Fa, Yu Chih-Yung, Yu Jyh-Cherng, Chan De-Chuan, Chen Teng-Wei, Chen Peng-Jen, Liu Yao-Chi
Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, 325, Sec. 2, Cheng-Kung Road, Neihu 114, Taipei, Taiwan, China.
World J Gastroenterol. 2005 Sep 14;11(34):5416-7. doi: 10.3748/wjg.v11.i34.5416.
A diagnosis of intestinal diverticulosis is difficult to make pre-operatively because the clinical symptoms are usually non-specific. We report the case of a 70-year-old man who had suffered from three episodes of intestinal obstruction in 1 year. He experienced dull pain and a sensation of fullness over the whole abdomen. The symptoms did not improve after conservative treatment. The presumptive diagnosis was intestinal obstruction, and an exploratory laparotomy found diverticulosis of the proximal jejunum, with an adhesion band formed from the base of one diverticulum. Strangulation of a segment of the jejunum resulted from the internal herniation caused by the band. The band was removed and the proximal jejunum segmentally resected. His postoperative course was uneventful.
术前很难诊断肠憩室病,因为其临床症状通常不具有特异性。我们报告一例70岁男性患者,该患者在1年内发生了3次肠梗阻。他感到全腹隐痛和饱胀感。保守治疗后症状未改善。初步诊断为肠梗阻,剖腹探查发现空肠近端憩室病,一个憩室底部形成了粘连带。该粘连带导致空肠段内疝并发生绞窄。切除粘连带并对空肠近端进行节段性切除。患者术后恢复顺利。