Bouassida Mahdi, Feidi Bilel, Ben Ali Mechaal, Chtourou Mohamed Fadhel, Krifa Marouene, Sassi Selim, Chebbi Fathi, Mighri Mohamed Mongi, Touinsi Hassen, Sassi Sadok
Department of surgery, Mohamed Thahar Maamouri Hospital, Nabeul, Tunisia.
Pan Afr Med J. 2011;10:57. Epub 2011 Dec 18.
Adult intussusception due to Meckel's diverticulum 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 one case of intussusception due to Meckel's diverticulum in an adult. A 22-year-old patient was admitted to our hospital with vomiting and abdominal pain. The abdomen was hard with tenderness. We diagnosed an acute small bowel obstruction and performed emergency surgery. The intra operative findings were distention of the small bowel and intussusception of ileus due to an inverted Meckel's diverticulum located 70 cm from the ileocecal valve. 30 cm ischemic loop was identified. A segmental small bowel resection and hand-sewn anastomosis was performed. Histopathology distinguished Meckel's diverticulum measuring 5 cm x 3.5 cm x 1 cm and no signs of malignancy.
梅克尔憩室所致成人肠套叠是肠梗阻的一种罕见病因。然而，由于其症状不具特异性且发病率低，术前诊断困难，外科医生仍应怀疑此病。鉴于成人肠套叠的继发性本质以及早期手术干预以避免发病和死亡的必要性，我们报告一例成人梅克尔憩室所致肠套叠病例。一名22岁患者因呕吐和腹痛入院。腹部硬且有压痛。我们诊断为急性小肠梗阻并进行了急诊手术。术中发现小肠扩张，距回盲瓣70 cm处因梅克尔憩室翻转导致肠梗阻性肠套叠。发现一段30 cm的缺血肠袢。进行了小肠部分切除及手工缝合吻合术。组织病理学显示梅克尔憩室大小为5 cm×3.5 cm×1 cm，无恶性迹象。
