Eleni Sioka, Gregory Christodoulidis, Grigorios Garoufalis, Dimitris Zacharoulis, Department of General Surgery, University Hospital of Larissa, Mezourlo, 41110, Larissa, Greece.
World J Gastrointest Surg. 2011 Aug 27;3(8):123-7. doi: 10.4240/wjgs.v3.i8.123.
Adult intussusception due to Meckel's diverticulum (MD) is an uncommon cause of intestinal obstruction. However, the surgeon should still be suspicious of this condition since the non specific symptoms and the rarity of it make a preoperative diagnosis uncertain. Considering the secondary nature of adult intussusception and the necessity of early surgical intervention to avoid morbidity and mortality, we report two cases of intussusception due to MD in adults. A diverticulectomy using a TA stapler was performed in the first patient. In the second patient extensive fibrosis of the adjacent mesentery and thickening of jejunal mucosa were observed, so a segmental resection of the small bowel or affected ileal part and a hand-sewn anastomosis was performed. The postoperative period along with the long term follow-up was uneventful for both patients. The decision between diverticulectomy vs bowel resection can be based on the intussuscepted bowel condition. Early surgical intervention may ensure a favorable outcome.
成人肠套叠由 Meckel 憩室（MD）引起是肠梗阻的不常见原因。然而，由于非特异性症状和罕见性，使得术前诊断不确定，外科医生仍应怀疑这种情况。考虑到成人肠套叠的继发性和早期手术干预以避免发病率和死亡率的必要性，我们报告了两例成人 MD 引起的肠套叠。第一例患者采用 TA 吻合器进行憩室切除术。第二例患者观察到相邻肠系膜广泛纤维化和空肠黏膜增厚，因此进行了小肠部分切除术或受累回肠部分和手工吻合术。两名患者的术后期间和长期随访均无并发症。在憩室切除术与肠切除术之间的决策可以基于套叠肠的情况。早期手术干预可以确保良好的结果。
