Sagar Jayesh, Kumar Vikas, Shah D K
Department of Surgery, Royal Free Hospital, London, UK.
J R Soc Med. 2006 Oct;99(10):501-5. doi: 10.1177/014107680609901011.
Meckel's diverticulum is the most common congenital malformation of gastrointestinal tract. It can cause complications in the form of ulceration, haemorrhage, intussusception, intestinal obstruction, perforation and, very rarely, vesicodiverticular fistulae and tumours. These complications, especially bleeding, are more common in the paediatric age group than in adults; however it is not uncommon to miss the diagnosis of Meckel's diverticulum in adults. Here, we reviewed the literature regarding the complications of this forgotten clinical entity in adults with potential diagnostic difficulties and management strategies.
梅克尔憩室是最常见的胃肠道先天性畸形。它可引发溃疡、出血、肠套叠、肠梗阻、穿孔等并发症,极少数情况下还会出现膀胱憩室瘘和肿瘤。这些并发症,尤其是出血,在儿童年龄组比成人更常见;然而,成人梅克尔憩室的诊断漏诊并不罕见。在此,我们回顾了关于这个被遗忘的临床实体在成人中的并发症、潜在诊断困难及管理策略的文献。