Kloss Brian T, Broton Claire E, Sullivan Anne Marie
Department of Emergency Medicine, Upstate Medical University, 550 East Genesee Street, Syracuse, NY 13202 USA.
Int J Emerg Med. 2010 Aug 20;3(4):455-7. doi: 10.1007/s12245-010-0213-9.
Perforation of a Meckel diverticulum (MD) is a rare complication that can often mimic appendicitis. This case report identifies a child who presented to our Emergency Department (ED) with right lower quadrant abdominal pain, free fluid and air in the abdomen and pelvis, and inflammatory changes visualized on Ultrasonography (US) and computer tomography (CT) scan. In our patient, ruptured appendicitis was suspected, and the diagnosis of ruptured MD was ultimately made by laparoscopy. This case demonstrates that a healthy degree of suspicion for complicated MD should be present when dealing with a questionable diagnosis of appendicitis, particularly in the pediatric population.
梅克尔憩室（MD）穿孔是一种罕见的并发症，常可酷似阑尾炎。本病例报告介绍了一名儿童，其因右下腹腹痛、腹盆腔内有游离液体和气体，以及超声（US）和计算机断层扫描（CT）显示有炎症改变而就诊于我院急诊科（ED）。在我们的患者中，最初怀疑为阑尾炎穿孔，最终通过腹腔镜检查确诊为MD穿孔。本病例表明，在处理可疑的阑尾炎诊断时，尤其是在儿科患者中，应高度怀疑复杂的MD。
