Codrich Daniela, Taddio Andrea, Schleef Jurgen, Ventura Alessandro, Marchetti Federico
Department of Pediatric Surgery, Institute of Child Health, IRCCS Burlo Garofolo, Trieste, Italy.
World J Gastroenterol. 2009 Jun 14;15(22):2809-11. doi: 10.3748/wjg.15.2809.
Meckel's diverticulum (MD) is the most frequent congenital abnormality of the small bowel and it is often difficult to diagnose. It is usually asymptomatic but approximately 4% are symptomatic with complications such as bleeding, intestinal obstruction, and inflammation. The authors report a case of a 7-year-old boy with a one-year history of recurrent periumbilical colicky pain with associated alimentary vomiting, symptoms erroneously related to a cyclic vomiting syndrome but not to MD. The clinical features and the differential diagnostic methods employed for diagnosis of MD are discussed.
梅克尔憩室（MD）是小肠最常见的先天性异常，通常难以诊断。它通常无症状，但约4%会出现诸如出血、肠梗阻和炎症等并发症的症状。作者报告了一例7岁男孩的病例，该男孩有一年反复脐周绞痛伴消化性呕吐的病史，这些症状被错误地归因于周期性呕吐综合征而非梅克尔憩室。本文讨论了梅克尔憩室的临床特征及用于其诊断的鉴别诊断方法。
