Pariza G, Mavrodin C I, Ciurea M
Spitalul Universitar de Urgenţă, Bucureşti.
Chirurgia (Bucur). 2009 Nov-Dec;104(6):745-8.
Meckel's diverticulum is the most prevalent abnormality of the gastrointestinal tract seen in approximately 2% of the population. Diagnosing complicated diverticulum is difficult, for its capacity to mime multiple disorders such as appendicitis, ulcer disease, enterocolitis, Chron disease, sigmoid diverticulitis, cholecystitis, and it should be considered in all patients with unexplained chronic abdominal pain, nausea, vomiting, gastrointestinal bleeding, unexpected cause of intestinal obstruction or acute abdomen. Herewith we provide an illustrative presentation, emphasizing the difficulties in preoperative diagnosis of complicated Meckel's diverticulum and underlining the nonspecific nature of the subjective and objective findings. Both cases were admitted to our clinic with acute abdomen diagnoses--first case as a intestinal obstruction and in second case was acute appendicitis. Laparatomy ascertain that the cause of symptoms was the complicated Meckel's diverticulum.
梅克尔憩室是胃肠道最常见的异常，在大约2%的人群中可见。诊断复杂性憩室很困难，因为它能够模仿多种疾病，如阑尾炎、溃疡病、小肠结肠炎、克罗恩病、乙状结肠憩室炎、胆囊炎，对于所有有不明原因的慢性腹痛、恶心、呕吐、胃肠道出血、不明原因的肠梗阻或急腹症的患者都应考虑到该病。在此我们提供一个病例展示，强调术前诊断复杂性梅克尔憩室的困难，并突出主观和客观检查结果的非特异性。两例患者均以急腹症诊断入院——第一例诊断为肠梗阻，第二例诊断为急性阑尾炎。剖腹探查确定症状的原因是复杂性梅克尔憩室。
