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梅克尔憩室的一种不寻常表现。

An unusual presentation of Meckel's diverticulum.

作者信息

Ihedioha U, Panteleimonitis S, Patel M, Duncan A, Finch Gj

机构信息

Northampton General Hospital, Northampton, UK.

出版信息

J Surg Case Rep. 2012 Mar 1;2012(3):4. doi: 10.1093/jscr/2012.3.4.

DOI:10.1093/jscr/2012.3.4
PMID:24960808
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3649513/
Abstract

Meckel's diverticulum can present with unusual symptoms and signs and therefore delay diagnosis. We present the case of a 63 year old lady who presented to the gynaecologists with a huge right sided ovarian cyst. She had required 13 units blood transfusion previously (5 years ago) for massive gastrointestinal bleed with no cause found despite extensive investigations. At operation she was found to have a Meckel's diverticulum in the left lumbar region containing a large calculus. She had an unremarkable post-operative course.

摘要

梅克尔憩室可能表现出不寻常的症状和体征,从而延误诊断。我们报告一例63岁女性病例,该患者因右侧巨大卵巢囊肿就诊于妇科医生。她曾在5年前因大量胃肠道出血接受了13单位输血,尽管进行了广泛检查,但未发现病因。手术时发现她左腰部有一个梅克尔憩室,其中含有一块大结石。她术后恢复过程顺利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f850/3649513/e6f977821cf9/jscr-2012-3-4fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f850/3649513/35c91b8f106c/jscr-2012-3-4fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f850/3649513/e6f977821cf9/jscr-2012-3-4fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f850/3649513/35c91b8f106c/jscr-2012-3-4fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f850/3649513/e6f977821cf9/jscr-2012-3-4fig2.jpg

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An unusual presentation of Meckel's diverticulum.梅克尔憩室的一种不寻常表现。
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引用本文的文献

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Recognizing perforated Meckel's diverticulum: A crucial differential in acute appendicitis imitation.识别穿孔性梅克尔憩室:急性阑尾炎模仿中的关键鉴别要点。
Clin Case Rep. 2024 Aug 27;12(9):e9361. doi: 10.1002/ccr3.9361. eCollection 2024 Sep.
2
A mimic of acute appendicitis identified on ultrasound.
J Am Coll Emerg Physicians Open. 2023 May 15;4(3):e12964. doi: 10.1002/emp2.12964. eCollection 2023 Jun.
3
Case report: preoperatively diagnosed perforated Meckel's diverticulum containing gastric and pancreatic-type mucosa.病例报告:术前诊断为含有胃和胰腺型黏膜的梅克尔憩室穿孔。

本文引用的文献

1
Inflamed Meckel's diverticulum secondary to a giant faecalith: a rare presentation of acute abdominal pain in an adult.继发于巨大粪石的炎症性梅克尔憩室:成人急性腹痛的罕见表现。
J Surg Case Rep. 2010 Dec 1;2010(10):9. doi: 10.1093/jscr/2010.10.9.
2
CT of Meckel's diverticulitis in 11 patients.11例梅克尔憩室炎的CT表现
AJR Am J Roentgenol. 2004 Mar;182(3):625-9. doi: 10.2214/ajr.182.3.1820625.
3
Meckel's enteroliths: clinical, radiologic, and pathologic findings.梅克尔肠石:临床、放射学及病理学表现
BMC Surg. 2017 Apr 11;17(1):36. doi: 10.1186/s12893-017-0236-8.
AJR Am J Roentgenol. 1996 Dec;167(6):1447-50. doi: 10.2214/ajr.167.6.8956575.
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General case of the day. Enterolith in a blind pouch (blind pouch syndrome secondary to side-to-side enteroanastomosis).当日一般病例。盲袋内肠石(因侧侧肠吻合术继发盲袋综合征)。
Radiographics. 1993 Jul;13(4):965-7. doi: 10.1148/radiographics.13.4.8356285.
5
Calculus in a Meckel's diverticulum--a preoperative radiological diagnosis.梅克尔憩室中的结石——术前影像学诊断
Br J Radiol. 1971 Nov;44(527):888-90. doi: 10.1259/0007-1285-44-527-888.
6
Meckel's diverticulum.梅克尔憩室
Am J Gastroenterol. 1990 Jul;85(7):777-81.
7
Complications and diagnosis of Meckel's diverticulum in 776 patients.776例梅克尔憩室的并发症与诊断
Am J Surg. 1992 Oct;164(4):382-3. doi: 10.1016/s0002-9610(05)80909-2.
8
Stones, Crohn's disease and Meckel's diverticulum.结石、克罗恩病和梅克尔憩室。
Br Med J. 1976 Nov 6;2(6044):1107. doi: 10.1136/bmj.2.6044.1107.