Garg Niraj, Khullar Rajesh, Sharma Anil, Soni Vandana, Baijal Manish, Chowbey Pradeep
Department of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital, New Delhi - 110 060, India.
J Minim Access Surg. 2009 Oct;5(4):115-7. doi: 10.4103/0972-9941.59311.
Jejunoileal diverticulae, also referred to as non-Meckelian diverticulae, are very uncommon. These diverticulae are considered to be acquired pulsion diverticulae and they mostly occur in older people. Their prevalence increases with age. About 80% of these diverticulae occur in jejunum and are usually multiple. Patients with jejunoileal diverticulae present with nonspecific symptoms. The clinical picture of a complicated jejunoileal diverticulae can be confused with other intra-abdominal acute conditions such as appendicitis, cholecystitis, perforated ulcer, etc. Nonmechanical or pseudoobstruction is related to the dyskinesia associated with this condition. The diagnosis is made by a small bowel contrast study, enteroclysis, endoscopy or computed tomography. A surgical approach is the best form of treatment for complicated jejunoileal diverticulae. Laparoscopy is very useful in diagnosing and treating this condition. The current report is about a patient who presented with recurrent subacute intestinal obstruction and was managed by laparoscopy.
空肠回肠憩室，也称为非梅克尔憩室，非常罕见。这些憩室被认为是后天性内压性憩室，多见于老年人，其患病率随年龄增长而增加。约80%的此类憩室发生在空肠，且通常为多发。空肠回肠憩室患者表现为非特异性症状。复杂的空肠回肠憩室的临床表现可能与其他腹腔内急性疾病如阑尾炎、胆囊炎、溃疡穿孔等相混淆。非机械性或假性梗阻与该疾病相关的运动障碍有关。诊断通过小肠造影、小肠灌肠造影、内镜检查或计算机断层扫描进行。手术治疗是复杂空肠回肠憩室的最佳治疗方式。腹腔镜检查在诊断和治疗该疾病方面非常有用。本报告讲述的是一名出现复发性亚急性肠梗阻并通过腹腔镜进行治疗的患者。
