Altaf Abdulmalik, Aref Hager
Department of Surgery, Faculty of Medicine King Abdulaziz University, Jeddah, Saudi Arabia.
Int J Surg Case Rep. 2014;5(12):1200-2. doi: 10.1016/j.ijscr.2014.11.038. Epub 2014 Nov 18.
Meckel's diverticulum is the most common congenital anomaly of the small intestine. Common complications related to Meckel's diverticulum include hemorrhage, intestinal obstruction and inflammation. Acute large bowel obstruction is a rare complication of Meckel's diverticulum and in the presented case it is caused by volvulus.
We report a 39 year old female who presented with the diagnosis of a large bowel obstruction occurring as a result of cecal volvulus caused by adhesions of a perforated diverticulum.
The reported case presents one of the rare complications of MD, which is volvulus. The case described above presented with signs and symptoms suggestive of acute intestinal obstruction and radiological findings suggestive of cecal volvulus. The patient was taken to the operation room for exploration and we discovered the presence of a perforated MD. The main treatment of such case is to perform diverticulectomy in all symptomatic patients.
MD is mostly identified intraoperatively. Knowledge of the pathophysiologies by which MD can cause complications such as volvulus is important in order to plan management.
梅克尔憩室是小肠最常见的先天性异常。与梅克尔憩室相关的常见并发症包括出血、肠梗阻和炎症。急性大肠梗阻是梅克尔憩室的一种罕见并发症，在本病例中是由肠扭转引起的。
我们报告一名39岁女性，诊断为因穿孔憩室粘连导致盲肠扭转引起的大肠梗阻。
报告的病例呈现了梅克尔憩室的一种罕见并发症，即肠扭转。上述病例表现出提示急性肠梗阻的体征和症状以及提示盲肠扭转的影像学表现。患者被送往手术室进行探查，我们发现了一个穿孔的梅克尔憩室。此类病例的主要治疗方法是对所有有症状的患者进行憩室切除术。
梅克尔憩室大多在术中被发现。了解梅克尔憩室可导致诸如肠扭转等并发症的病理生理学知识对于制定治疗方案很重要。
