Second Department of Internal Medicine, Faculty of Medicine at Hradec Králové, Charles University in Praha, University Teaching Hospital, Hradec Králové, Czech Republic.
J Gastrointest Surg. 2010 Mar;14(3):578-81. doi: 10.1007/s11605-009-0838-2. Epub 2009 Mar 10.
Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract. Authors present a 67-year-old woman treated for iron deficiency anemia for the past 5 years. Suddenly, her disease was presented with painless severe gastrointestinal bleeding (fresh melena). Inverted Meckel's diverticulum with ectopic pancreatic tissue as a source of severe gastrointestinal bleeding was diagnosed by intraoperative enteroscopy.
A combination of inversion of Meckel's diverticulum with ectopic pancreatic tissue is extremely rare, particularly in elderly patient. Capsule endoscopy, double balloon enteroscopy, and ultimately intraoperative enteroscopy may be helpful in timely diagnosis.
梅克尔憩室是胃肠道最常见的先天性异常。作者报告了一位 67 岁的女性,她在过去 5 年中因缺铁性贫血接受治疗。突然,她的疾病表现为无痛性严重胃肠道出血(新鲜柏油便)。术中内镜检查诊断为异位胰腺组织来源的倒置梅克尔憩室导致严重胃肠道出血。
梅克尔憩室伴异位胰腺组织的倒置非常罕见,特别是在老年患者中。胶囊内镜、双气囊内镜,最终术中内镜检查可能有助于及时诊断。