Ko Sheung-Fat, Tiao Miao-Ming, Huang Fu-Chen, Hsieh Chie-Song, Huang Chung-Cheng, Ng Shu-Hang, Wan Yung-Liang, Lee Tze-Yu
Department of Radiology, College of Medicine, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University, Kaohsiung, Kaohsiung Hsien 833, Taiwan.
Am J Emerg Med. 2008 Jan;26(1):86-90. doi: 10.1016/j.ajem.2007.07.009.
We report 2 pediatric cases of small bowel obstruction due to a Meckel's diverticulum complicated with internal hernia. Abdominal multidetector computed tomograms with multiple planar reconstructions revealed a bridge-like lesion with inconspicuous mucosal folds in the right lower quadrant formed by adhesion of the tip of Meckel's diverticulum with the adjacent mesentery, with ileal loops converging at the "bridge" and engorged mesenteric vessels. These 2 cases highlight the feasibility of multidetector computed tomography, especially in the ED, in revealing this unusual etiology of small bowel obstruction.
我们报告2例因梅克尔憩室并发内疝导致小肠梗阻的儿科病例。腹部多排螺旋计算机断层扫描及多平面重建显示,右下象限有一个桥状病变,由梅克尔憩室尖端与相邻肠系膜粘连形成,黏膜皱襞不明显,回肠袢在“桥”处汇聚,肠系膜血管充血。这2例病例凸显了多排螺旋计算机断层扫描在揭示这种不寻常的小肠梗阻病因方面的可行性,尤其是在急诊科。