一名42岁女性绞窄性脐疝合并坏疽性梅克尔憩室：病例报告
Gangrenous meckel's diverticulum in a strangulated umbilical hernia in a 42 year-old woman: a case report.
作者信息
Sengul Ilker, Sengul Demet, Avcu Serhat, Parlak Omer
机构信息
Department of General Surgery, Giresun University Faculty of Medicine, 28100 Giresun, Turkey.
出版信息
Cases J. 2010 Jan 7;3:10. doi: 10.1186/1757-1626-3-10.
INTRODUCTION
Meckel's diverticulum affects 1 - 3% of general population and is known as the most common anomaly of gastrointestinal tract. However, its estimated lifetime complication rate is approximately 4%. Intestinal obstruction is most common complication of Meckel's diverticulum in adult population.
CASE PRESENTATION
In the present study, we reported a 42-year-old female patient with a gangrenous Meckel's diverticulum in a strangulated umbilical hernia sac treated by dissection of diverticulomesenteric bands and diverticulectomy. In 36 months follow-up, there was neither any complication nor recurrence of hernia.
CONCLUSION
This case represents a gangrenous Meckel's diverticulum in a strangulated umbilical hernia sac diagnosed in case of emergency. Although it is a very rare phenomenon, we should be vigilant for this entity especially in case of emergency.
引言
梅克尔憩室在普通人群中的发病率为1% - 3%，是已知最常见的胃肠道异常。然而，其估计的终生并发症发生率约为4%。肠梗阻是成人梅克尔憩室最常见的并发症。
病例报告
在本研究中，我们报告了一名42岁女性患者，其患有坏疽性梅克尔憩室，位于绞窄性脐疝囊内，通过解剖憩室系膜带和憩室切除术进行治疗。在36个月的随访中，既没有出现任何并发症，疝也没有复发。
结论
该病例代表了在紧急情况下诊断出的绞窄性脐疝囊内的坏疽性梅克尔憩室。虽然这是一种非常罕见的现象，但我们对此情况应保持警惕，尤其是在紧急情况下。
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