Canelas A L Campos, Neto A N Abud, Rodrigues A L Santos, Meguins L Crociati, Rolo D Felgueiras, Lobato M Ferreira
Hospital de Pronto Municipal Dr Humberto Maradei Pereira Belém, Pará, Brazil.
G Chir. 2009 Nov-Dec;30(11-12):476-8.
Meckel's diverticulum (MD) is a congenital disorder that results from an incomplete obliteration of the vitelline duct. MD may give rise to bleeding, intestinal obstruction and inflammation; however its perforation by a foreign body is an extremely rare life-threatening complication. We report on a 52 years-old Brazilian Amazon man presenting symptoms and signs of acute abdomen with an initial suspicion of acute appendicitis. However, the right diagnosis was made only during exploratory laparotomy when the appendix was found to be normal, whereas MD was found to be inflamed and perforated by a chicken bone. The patient was treated successfully with resection of a segment of the ileum, including the perforated diverticulum, and had an uncomplicated postoperative course.
梅克尔憩室（MD）是一种先天性疾病，由卵黄管不完全闭塞引起。MD可能导致出血、肠梗阻和炎症；然而，异物导致其穿孔是一种极其罕见的危及生命的并发症。我们报告一例52岁的巴西亚马逊男性患者，出现急腹症的症状和体征，最初怀疑为急性阑尾炎。然而，仅在探查性剖腹手术中才做出正确诊断，当时发现阑尾正常，而MD发炎并被一根鸡骨穿孔。患者通过切除一段包括穿孔憩室在内的回肠成功治愈，术后过程顺利。
