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梅克尔憩室导致小肠梗阻。

Meckel diverticulum causing small bowel obstruction.

作者信息

Sharples Alistair James

机构信息

Princess Royal Hospital, Surgery, 48 Pooler Close, Telford, Shropshire , TF1 2HP, UK.

出版信息

BMJ Case Rep. 2010;2010. doi: 10.1136/bcr.06.2009.1970. Epub 2010 Apr 5.

DOI:10.1136/bcr.06.2009.1970
PMID:22479299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3052839/
Abstract

A 62-year-old man was admitted with generalised abdominal pain, constipation and vomiting. His abdomen was markedly distended and tender on general examination with signs of local peritonism in the left iliac fossa. He was initially diagnosed with likely acute diverticulitis and treated conservatively. A CT scan the next day showed fluid filled, dilated small bowel loops consistent with small bowel obstruction and there was a suggestion of an abscess in the left iliac fossa region. An urgent laparotomy was performed, which identified a perforated Meckel diverticulum.

摘要

一名62岁男性因全腹疼痛、便秘和呕吐入院。全身检查时，他的腹部明显膨隆且有压痛，左髂窝有局部腹膜炎体征。他最初被诊断可能为急性憩室炎，并接受了保守治疗。次日的CT扫描显示充满液体、扩张的小肠袢，符合小肠梗阻表现，且提示左髂窝区域有脓肿形成。遂行急诊剖腹手术，术中发现一个梅克尔憩室穿孔。

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Ochsner J. 2019 Summer;19(2):166-168. doi: 10.31486/toj.17.0114.
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本文引用的文献

1
Persistent omphalomesenteric duct causing small bowel obstruction in an adult.成人持续性卵黄管导致小肠梗阻
World J Gastroenterol. 2007 Apr 21;13(15):2258-60. doi: 10.3748/wjg.v13.i15.2258.
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.
3
Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950-2002).梅克尔憩室：梅奥诊所对1476例患者的治疗经验（1950 - 2002年）
Ann Surg. 2005 Mar;241(3):529-33. doi: 10.1097/01.sla.0000154270.14308.5f.
4
Meckel's diverticulum: comparison of incidental and symptomatic cases.梅克尔憩室：偶然发现病例与有症状病例的比较
World J Surg. 2004 Sep;28(9):917-20. doi: 10.1007/s00268-004-7512-3.
5
Meckel's diverticulum causing intestinal obstruction.梅克尔憩室导致肠梗阻。
Am J Gastroenterol. 2001 Dec;96(12):3426-7. doi: 10.1111/j.1572-0241.2001.05344.x.
6
Meckel's diverticulum: imaging diagnosis.梅克尔憩室：影像学诊断
AJR Am J Roentgenol. 1996 Mar;166(3):567-73. doi: 10.2214/ajr.166.3.8623629.
7
Surgical management of Meckel's diverticulum. An epidemiologic, population-based study.梅克尔憩室的外科治疗。一项基于人群的流行病学研究。
Ann Surg. 1994 Oct;220(4):564-8; discussion 568-9. doi: 10.1097/00000658-199410000-00014.
8
A fifty year experience with Meckel's diverticulum.美克尔憩室五十年的经验
Surg Gynecol Obstet. 1983 Jan;156(1):56-64.
9
CT diagnosis of small-bowel obstruction: efficacy in 60 patients.小肠梗阻的CT诊断：60例患者的疗效观察
AJR Am J Roentgenol. 1992 Apr;158(4):765-9; discussion 771-2. doi: 10.2214/ajr.158.4.1546591.
10
The natural history of Meckel's Diverticulum and its relation to incidental removal. A study of 202 cases of diseased Meckel's Diverticulum found in King County, Washington, over a fifteen year period.梅克尔憩室的自然病史及其与偶然切除的关系。对华盛顿州金县在15年期间发现的202例患病梅克尔憩室病例的研究。
Am J Surg. 1976 Aug;132(2):168-73. doi: 10.1016/0002-9610(76)90043-x.