Wong Janice H L, Suhaili Dk Norsuhazenah Pg Hj, Kok Kenneth Y Y
Department of General Surgery, Ripas Hospital, Brunei.
Asian J Surg. 2005 Oct;28(4):295-6. doi: 10.1016/s1015-9584(09)60364-x.
Foreign body perforation of Meckel's diverticulum is a very rare event. We report two cases of fish bone perforation of Meckel's diverticulum that presented within 5 days of each other. Both patients presented with acute abdomen and were initially suspected to have acute appendicitis. The diagnosis was only made at surgery when the appendix was found to be normal and Meckel's diverticulum was found to be inflamed and perforated by a fish bone. Both cases were treated successfully with Meckel's diverticulectomy.
梅克尔憩室异物穿孔是一种非常罕见的情况。我们报告两例梅克尔憩室鱼骨穿孔病例,这两例病例在相隔5天内出现。两名患者均表现为急腹症,最初均怀疑患有急性阑尾炎。仅在手术时发现阑尾正常,而梅克尔憩室发炎并被鱼骨穿孔,才做出诊断。两例均通过梅克尔憩室切除术成功治疗。