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成人梅克尔憩室出血

Bleeding Meckel's diverticulum in an adult.

作者信息

Baumgartner F J, White G H, Colman P D, Marcus C, Salahi W

机构信息

Department of Surgery, Harbor/UCLA Medical Center, Torrance 90509.

出版信息

J Natl Med Assoc. 1990 Aug;82(8):585-8.

PMID:2168491
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2626969/
Abstract

The diagnosis of a symptomatic Meckel's diverticulum in an adult is uncommon. Still more infrequent is the presentation of a bleeding Meckel's diverticulum after childhood. We present a case report of a 24-year-old male with gastrointestinal hemorrhage secondary to a Meckel's diverticulum containing ectopic gastric mucosa. With the exception of a Meckel's Tc 99m pertechnetate scan, all other diagnostic procedures including Tc 99m-labeled red cell scan and angiography were negative.

摘要

成人有症状的梅克尔憩室诊断并不常见。儿童期后出现出血性梅克尔憩室的情况更为罕见。我们报告一例24岁男性病例,其因含有异位胃黏膜的梅克尔憩室继发胃肠道出血。除了锝99m高锝酸盐梅克尔扫描外,包括锝99m标记红细胞扫描和血管造影在内的所有其他诊断程序均为阴性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b291/2626969/d8377bc312ae/jnma00894-0068-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b291/2626969/c62fdb5a3b37/jnma00894-0066-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b291/2626969/7beec53b5802/jnma00894-0066-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b291/2626969/e5d26a17aa0e/jnma00894-0067-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b291/2626969/7508eb0b83cb/jnma00894-0067-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b291/2626969/d8377bc312ae/jnma00894-0068-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b291/2626969/c62fdb5a3b37/jnma00894-0066-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b291/2626969/7beec53b5802/jnma00894-0066-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b291/2626969/e5d26a17aa0e/jnma00894-0067-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b291/2626969/7508eb0b83cb/jnma00894-0067-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b291/2626969/d8377bc312ae/jnma00894-0068-a.jpg

相似文献

1
Bleeding Meckel's diverticulum in an adult.成人梅克尔憩室出血
J Natl Med Assoc. 1990 Aug;82(8):585-8.
2
[Detection of ectopic gastric mucosa in Meckel's diverticulum by means of scintigraphy with 99mTc-pertechnetate in a 24-year old man].[一名24岁男性通过99m锝高锝酸盐闪烁扫描术检测梅克尔憩室中的异位胃黏膜]
Vnitr Lek. 2007 Mar;53(3):307-10.
3
Meckel's diverticulum preoperatively diagnosed by double-balloon endoscopy.经双气囊内镜术前诊断的梅克尔憩室。
Intern Med. 2012;51(9):1023-6. doi: 10.2169/internalmedicine.51.6594. Epub 2012 Apr 29.
4
Laparoscopy diagnosis and treatment excision of bleeding Meckel's diverticulum in a child: report of one case.腹腔镜诊断与治疗小儿出血性梅克尔憩室切除术:1例报告
Acta Paediatr Taiwan. 2003 Jan-Feb;44(1):41-3.
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The value of angiography in diagnosis of Meckel's diverticulum: case report.血管造影术在梅克尔憩室诊断中的价值:病例报告
Chang Gung Med J. 2000 Nov;23(11):716-9.
6
An unsuspected bleeding Meckel's diverticulum in an adult detected on mesenteric angiography.一名成人在肠系膜血管造影检查时发现了未被怀疑的梅克尔憩室出血。
J Coll Physicians Surg Pak. 2013 Oct;23(10):759-60. doi: 10.2013/JCPSP.759760.
7
The utility of technetium 99m pertechnetate scintigraphy in the evaluation of patients with Meckel's diverticulum.锝99m高锝酸盐闪烁扫描术在美克尔憩室患者评估中的应用。
J Pediatr Surg. 1999 May;34(5):760-4; discussion 765. doi: 10.1016/s0022-3468(99)90370-6.
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Unusual scintigraphic presentation of a shifting Meckel's diverticulum.可移动梅克尔憩室的异常闪烁显像表现
Clin Nucl Med. 1985 Apr;10(4):252-5. doi: 10.1097/00003072-198504000-00005.
9
A moving Meckel's diverticulum on Tc-99m pertechnetate imaging in a patient with lower gastrointestinal bleeding.一名下消化道出血患者在锝-99m高锝酸盐成像上显示出移动性梅克尔憩室。
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10
Hemorrhagic Meckel's diverticulum. Interest of the digestive pertechnetate scintigraphy.出血性梅克尔憩室。消化道高锝酸盐闪烁扫描术的意义。
Tunis Med. 2016 Oct;94(10):629-631.

引用本文的文献

1
Meckel's diverticulum: A rare and missed cause of adult gastrointestinal bleed.梅克尔憩室:成人胃肠道出血的罕见且易被漏诊的病因。
Clin Case Rep. 2024 May 24;12(6):e9000. doi: 10.1002/ccr3.9000. eCollection 2024 Jun.
2
Meckel's diverticulum: a systematic review.梅克尔憩室:一项系统综述
J R Soc Med. 2006 Oct;99(10):501-5. doi: 10.1177/014107680609901011.

本文引用的文献

1
Meckel's diverticulum causing iron deficiency anaemia in adulthood. A case report.成人期梅克尔憩室导致缺铁性贫血。病例报告。
S Afr Med J. 1982 Jul 10;62(2):68-9.
2
Scintigraphic triad in focal nodular hyperplasia.局灶性结节性增生的闪烁造影三联征。
Am J Gastroenterol. 1984 Jan;79(1):61-4.
3
Diagnosis of Meckel's diverticulum in adults.成人梅克尔憩室的诊断
Mt Sinai J Med. 1984 Jul-Aug;51(4):378-81.
4
Leiomyoma of terminal ileum producing a false-positive Meckel's scan.回肠末端平滑肌瘤导致梅克尔扫描假阳性。
J Nucl Med. 1985 Nov;26(11):1278-82.
5
Meckel's diverticulum in the adult.成人的梅克尔憩室。
Br J Surg. 1985 Jun;72(6):480-2. doi: 10.1002/bjs.1800720625.
6
Carcinoid of Meckel's diverticulum. Report of two cases with perforation, in one with concomitant foreign body.梅克尔憩室类癌。两例伴有穿孔的病例报告,其中一例伴有异物。
Acta Chir Scand. 1986 Aug-Sep;152:551-3.
7
Leiomyoma of Meckel's diverticulum.梅克尔憩室平滑肌瘤
Med J Aust. 1986 Sep 1;145(5):232-4. doi: 10.5694/j.1326-5377.1986.tb113818.x.
8
The diagnosis of Meckel's diverticulum: a continuing challenge.梅克尔憩室的诊断:一项持续存在的挑战。
Clin Radiol. 1987 Nov;38(6):615-9. doi: 10.1016/s0009-9260(87)80338-0.
9
Carcinoid syndrome from a tumor of Meckel's diverticulum.梅克尔憩室肿瘤引起的类癌综合征。
Am J Med. 1987 Jul;83(1):184-6. doi: 10.1016/0002-9343(87)90522-5.
10
Meckel's diverticulum in the adult.成人梅克尔憩室
Br J Surg. 1986 Feb;73(2):146-9. doi: 10.1002/bjs.1800730225.