Trésallet Christophe, Renard-Penna Raphaëlle, Nguyen-Thanh Quang, Cardot Vincent, Chigot Jean-Paul, Menegaux Fabrice
Department of General Surgery, Université Pierre et Marie Curie, Assitance Publique-Hôspitaux de Paris, Pitié Hospital, Paris, France.
Int Surg. 2007 May-Jun;92(3):125-7.
Complications caused by Meckel's enteroliths are very rare. Diagnosis is not usually made before surgery because symptoms are often of little value and imaging may be difficult to interpret. Computed tomography (CT) scanning, which is increasingly performed in emergency situations, could help make the diagnosis. We describe a 37-year-old man with intestinal obstruction caused by an enterolith resulting from a giant Meckel's diverticulum. The diagnosis was suggested preoperatively through the use of abdominal CT scanning with reconstructed pictures. A resection of the small bowel and diverticulum was performed with immediate anastomosis. The postoperative course was uneventful. Diagnosis of enterolith from Meckel's diverticulum can be suggested by CT frontal reconstructed sections in patients with small bowel obstruction and abdominal calcified opacities. This procedure could reduce the delay between onset of symptoms and adequate treatment before perforation and peritonitis occur.
梅克尔憩室肠石引起的并发症非常罕见。术前通常无法做出诊断，因为症状往往价值不大，且影像学检查结果可能难以解读。在紧急情况下越来越多地使用的计算机断层扫描（CT）有助于做出诊断。我们描述了一名37岁男性，因巨大梅克尔憩室形成的肠石导致肠梗阻。术前通过腹部CT扫描及重建图像提示了诊断。进行了小肠和憩室切除术并立即吻合。术后过程顺利。对于小肠梗阻和腹部有钙化灶的患者，CT额状面重建图像可提示梅克尔憩室肠石的诊断。该检查方法可减少症状出现至在穿孔和腹膜炎发生前进行充分治疗之间的延迟。
