Kromann Charles Boy, Holgersen Randi Beier
Kirurgisk Afdeling, Helsingør Hospital, 3000 Helsingør, Denmark.
Ugeskr Laeger. 2011 Dec 12;173(50):3273-4.
Meckel's diverticulum (MD) occurs in 2-4% of the population and is the most common congenital abnormality of the gastrointestinal tract. A 67 year-old woman was admitted with acute abdomen. Abdominal X-ray showed pneumoperitoneum. During explorative laparoscopy a large perforated MD was found over the right hepatic lobe. CT-scans from an earlier admission revealed the MD but it was misinterpreted on that occasion. An MD in this place and in a person of this age is extremely rare. This case can primarily serve as differential diagnosis when CT-scans reveal mysterious subphrenic configurations.
梅克尔憩室(MD)在人群中的发生率为2% - 4%,是胃肠道最常见的先天性异常。一名67岁女性因急腹症入院。腹部X线显示有气腹。在探索性腹腔镜检查中,发现右肝叶上方有一个大的穿孔性梅克尔憩室。早期入院时的CT扫描显示了该梅克尔憩室,但当时被误诊了。在这个部位且这个年龄段的人出现梅克尔憩室极为罕见。当CT扫描显示神秘的膈下结构时,这个病例可作为主要的鉴别诊断依据。