Rana Nauman Anwar, Rathore Muhammad Omar, Khan Muhammad Usman
Department of Surgery, United Nations Field Hospital, Sudan.
J Coll Physicians Surg Pak. 2013 Apr;23(4):287-9.
Intussusception is commonly seen in infants. It is occasionally found in adults usually due to carcinomas, colonic diverticuli, polyps and rarely Meckel's diverticulum. An adult male presented with upper abdominal pain, nausea, anorexia and loose stools. The initial investigative workup was unremarkable and patient responded to treatment given for acute gastroenteritis. After 3 days, the pain recurred in right iliac fossa with rebound tenderness and leukocytosis. Surgery was performed with provisional diagnoses of acute appendicitis and/or acute Meckel's diverticulitis. Per-operative findings revealed invaginated Meckel's diverticulum causing non-obstructing intussusception.
肠套叠常见于婴儿。偶尔也见于成人,通常是由于癌、结肠憩室、息肉,很少由梅克尔憩室引起。一名成年男性出现上腹部疼痛、恶心、厌食和腹泻。初步检查无异常,患者对给予的急性胃肠炎治疗有反应。3天后,右下腹疼痛复发,伴有反跳痛和白细胞增多。手术时初步诊断为急性阑尾炎和/或急性梅克尔憩室炎。术中发现套叠的梅克尔憩室导致非梗阻性肠套叠。