Lee Jee Suk, Moon Won, Park Seun Ja, Park Moo In, Kim Kyu Jong, Lee Sang Ho, Chang Hee Kyung, Jung Gyu Sik
Department of Internal Medicine, Kosin University, College of Medicine, Busan, South Korea.
Turk J Gastroenterol. 2009 Dec;20(4):282-6. doi: 10.4318/tjg.2009.0028.
Meckel's diverticulum is a remnant of the vitelline duct and a congenital anomaly of the gastrointestinal tract. Hemorrhage from a Meckel's diverticulum is common in children but extremely rare in adults over 50 years of age. Very few cases have been reported to date and all prior cases were in men. Meckel's diverticulum is commonly overlooked as a possible cause of a lower gastrointestinal hemorrhage in adults. Here, we present the rare case of a 58-year-old woman with massive hemorrhage from a Meckel's diverticulum that was diagnosed by repeated emergency angiographies and treated with elective laparoscopic surgery.
梅克尔憩室是卵黄管的残余物，也是胃肠道的一种先天性异常。梅克尔憩室出血在儿童中很常见，但在50岁以上的成年人中极为罕见。迄今为止，报道的病例很少，且所有既往病例均为男性。梅克尔憩室在成年人下消化道出血的可能病因中常被忽视。在此，我们报告一例罕见病例，一名58岁女性因梅克尔憩室大量出血，经反复急诊血管造影确诊，并接受了择期腹腔镜手术治疗。
