Mathuram Thiyagarajan Umasankar, Ponnuswamy Amirthavarshini, Bagul Atul, Ponnuswamy Prabakar
Department of General and Transplant Surgery, Derriford Hospital, Plymouth PL6 8DH, UK.
Case Rep Surg. 2013;2013:825628. doi: 10.1155/2013/825628. Epub 2013 May 29.
Meckel's diverticulum is the commonest congenital malformation of gastrointestinal tract and represents a persistent remnant of the omphalomesenteric duct. Although it mostly remains silent, it can present as bleeding, perforation, intestinal obstruction, intussusception, and tumours. These complications, especially bleeding, tend to be more common in the paediatric group and intestinal obstruction in adults. Stone formation (lithiasis) in Meckel's diverticulum is rare. We report a case of Meckel's diverticulum lithiasis which presented as an acute abdomen in an otherwise healthy individual. The patient underwent an exploratory laparotomy which revealed a perforated Meckel's diverticulum with lithiasis; a segmental resection with end-to-end anastomosis of small bowel was performed. Patient recovery was delayed due to pneumonia, discharged on day 20 with no further complications at 6 months following surgery.
梅克尔憩室是胃肠道最常见的先天性畸形，是卵黄管的持续残留。虽然它大多没有症状，但可表现为出血、穿孔、肠梗阻、肠套叠和肿瘤。这些并发症，尤其是出血，在儿童组中更常见，而肠梗阻在成人中更常见。梅克尔憩室内结石形成（结石症）很罕见。我们报告一例梅克尔憩室结石症，表现为一名原本健康的个体突发急腹症。患者接受了剖腹探查术，发现一个有结石的穿孔梅克尔憩室；进行了小肠节段切除及端端吻合术。患者因肺炎恢复延迟，术后6个月第20天出院，无进一步并发症。
