Fontenot Bennett B, Deutmeyer Cindy M, Feldman Mark E, Hebra André
Department of Surgery, Medical University of South Carolina Children's Hospital, Charleston, South Carolina, USA.
J Laparoendosc Adv Surg Tech A. 2009 Apr;19(2):251-4. doi: 10.1089/lap.2008.0237.
This is a case of an otherwise asymptomatic Meckel's diverticulum, which became fibrously adherent to a previous umbilical laparoscopic port site, causing volvulus and small bowel obstruction in a pediatric patient. The diverticulum was diagnosed and resected laparoscopically, remaining bowel viability was maintained, and the child recovered without further sequelae. This complication, though rare, should be considered in the differential diagnosis when a child presents with abdominal pain after undergoing previous laparoscopic surgery. More important, this supports the consideration for the resection of asymptomatic Meckel's diverticulm when discovered incidentally, which is currently a controversial topic.
这是一例原本无症状的梅克尔憩室病例，该憩室与先前的脐部腹腔镜穿刺孔部位形成纤维性粘连，导致一名儿科患者发生肠扭转和小肠梗阻。通过腹腔镜诊断并切除了憩室，维持了剩余肠管的活力，患儿康复且无进一步后遗症。这种并发症虽然罕见，但当儿童在接受先前的腹腔镜手术后出现腹痛时，在鉴别诊断中应予以考虑。更重要的是，这支持了在偶然发现无症状梅克尔憩室时考虑将其切除的观点，这目前是一个有争议的话题。
