Assadourian R, N'Guema R, Berthet B, Ninh T V
Service de Chirurgie Générale et Digestive, Hôtel Dieu, Marseille.
J Chir (Paris). 1991 Jun-Jul;128(6-7):298-301.
The diagnosis of intestinal obstruction caused by Meckel's diverticulum is difficult. The clinical evolution of the condition is subacute, with painful bouts occurring over several years and puzzling the clinicians. As a first step, explorative laparotomy solves the problem. Two cases show how difficult this decision is. Celioscopic surgery may be chosen in the future.
梅克尔憩室引起的肠梗阻诊断困难。该病的临床病程呈亚急性,数年间反复发作疼痛,令临床医生感到困惑。第一步,剖腹探查术可解决问题。两个病例说明了做出这一决定有多困难。未来可能会选择腹腔镜手术。