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梅克尔憩室异物穿孔,一种罕见的并发症。

Perforation of Meckel's diverticulum by foreign body, a rare complication.

作者信息

Cotirlet A, Anghel R, Tincu E, Rau S, Motoc I, Popa E

机构信息

Surgery Department, Moineşti Emergency Municipal Hospital, Romania.

出版信息

Chirurgia (Bucur). 2013 May-Jun;108(3):411-3.

Abstract

Meckel's diverticulum is a congenital disorder that results from an incomplete obliteration of the vitelline duct. Meckel's diverticulum may give rise to bleeding, intestinal obstruction and inflammation; however, its perforation by a foreign body is an extremely rare life-threatening complication. We report ona 37-year-old male presenting symptoms and signs of acute abdomen with an initial suspicion of acute appendicitis.However, the right diagnosis was made only during exploratory laparoscopy when the appendix was found to be normal,whereas Meckel's diverticulum was found to be inflamed and perforated by a chicken bone. The patient was treated successfully with laparoscopic resection of the diverticulum, and had an uncomplicated postoperative course.

摘要

梅克尔憩室是一种先天性疾病,由卵黄管未完全闭塞引起。梅克尔憩室可能导致出血、肠梗阻和炎症;然而,异物导致其穿孔是一种极其罕见的危及生命的并发症。我们报告了一名37岁男性,出现急腹症的症状和体征,最初怀疑是急性阑尾炎。然而,直到在 exploratory laparoscopy(此处可能有误,推测为“exploratory laparotomy”,即剖腹探查术)中发现阑尾正常,而梅克尔憩室发炎并被一根鸡骨穿孔时,才做出正确诊断。该患者通过腹腔镜切除憩室获得成功治疗,术后恢复过程顺利。

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