Demetriou Vias, McKean David, Briggs James, Moore Niall
Vias Demetriou Ltd, Oxford, UK.
BMJ Case Rep. 2013 May 31;2013:bcr2013008868. doi: 10.1136/bcr-2013-008868.
A 30-year-old woman presented with a short history of abdominal pain which rapidly progressed to absolute constipation. An abdominal radiograph demonstrated a paucity of bowel gas and a 4 cm lesion with concentric laminar calcification projected over the pelvis. A CT scan revealed a 4 cm giant Meckel's diverticulum, downstream of which a laminated mass was impacted in the lumen of the distal ileum causing small bowel obstruction. Subsequent surgery confirmed small bowel obstruction secondary to impaction of a liberated enterolith from the giant Meckel's diverticulum. The history, imaging appearances and surgical findings in this case are classical of this unusual but treatable condition.
一名30岁女性因腹痛病史较短，迅速发展为完全性便秘前来就诊。腹部X线片显示肠气减少，盆腔有一个4厘米的病变，伴有同心层状钙化。CT扫描显示一个4厘米的巨大梅克尔憩室，其下游有一个分层肿块嵌顿在回肠远端腔内，导致小肠梗阻。随后的手术证实小肠梗阻是由巨大梅克尔憩室中游离的肠石嵌顿所致。该病例的病史、影像学表现和手术发现是这种不常见但可治疗疾病的典型表现。
