El-Hussuna Alaa, Zeb Aurang, Mogensen Anne Mellon, Naver Lars
Hvidovre Hospital, Gastroenheden, Kirurgisk Sektion, Hvidovre, Denmark.
Ugeskr Laeger. 2009 Dec 7;171(50):3676-7.
Perforation of Meckel's diverticulum (MD) is a rare and serious complication. The authors report a case of a 12-year-old girl who presented with acute abdominal pain and anaemia. Haemoperitoneum, perforated MD and peri-appendicular inflammation were found during laparotomy. The patient was treated with resection of a segment of ileum bearing the diverticulum and appendectomy. Postoperative recovery was uneventful. Pathological examination showed a perforated peptic ulcer with acute peritonitis and periappendicitis.
梅克尔憩室(MD)穿孔是一种罕见且严重的并发症。作者报告了一例12岁女孩,她因急性腹痛和贫血就诊。剖腹手术中发现腹腔积血、梅克尔憩室穿孔和阑尾周围炎症。患者接受了切除带有憩室的一段回肠及阑尾切除术治疗。术后恢复顺利。病理检查显示为穿孔性消化性溃疡伴急性腹膜炎和阑尾周围炎。