Department of Radiology, The Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, 3NW 39, Philadelphia, PA 19104, USA.
Pediatr Radiol. 2012 Jan;42(1):95-103. doi: 10.1007/s00247-011-2252-7. Epub 2011 Oct 9.
Meckel diverticulum is the most common congenital abnormality of the gastrointestinal (GI) tract, occurring in approximately 2% of the general population. The lifetime complication rate from a Meckel diverticulum is 0.5%-2%. The most common complications include bleeding, obstruction, inflammation and perforation. However, the clinical manifestations of a Meckel diverticulum are frequently nonspecific. As a result, complications secondary to Meckel diverticulitis can mimic a variety of more common intra-abdominal processes, such as appendicitis, inflammatory bowel disease and any other cause of small bowel inflammation or obstruction. The radiologist should be aware of potential manifestations of the disease on different imaging modalities. In this pictorial essay, we illustrate several complications related to the Meckel diverticulum, in multiple modalities.
Meckel 憩室是胃肠道(GI)最常见的先天性异常,在普通人群中约占 2%。Meckel 憩室的终生并发症发生率为 0.5%-2%。最常见的并发症包括出血、梗阻、炎症和穿孔。然而,Meckel 憩室的临床表现常常是非特异性的。因此,Meckel 憩室炎引起的并发症可能模仿多种更常见的腹腔内过程,如阑尾炎、炎症性肠病和任何其他引起小肠炎症或梗阻的原因。放射科医生应该意识到不同影像学检查方式下该病的潜在表现。在这篇影像学文章中,我们展示了多种影像学检查方式下与 Meckel 憩室相关的几种并发症。