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一名患有唐氏综合征的5岁患者出现梅克尔憩室伴肠套叠。

Meckel's diverticulum with intussusception in a 5-year-old patient with Down's syndrome.

作者信息

Anwar Mohammed Omer, Ahmed Hamza Ibn, Al Hindi Saeed, Al Omran Yasser

机构信息

Barts and The London School of Medicine and Dentistry, London, UK.

Salmaniya Medical Center, Kingdom of Bahrain.

出版信息

BMJ Case Rep. 2014 Dec 24;2014:bcr2014207431. doi: 10.1136/bcr-2014-207431.

DOI:10.1136/bcr-2014-207431
PMID:25540213
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4281549/
Abstract

Meckel's diverticulum is understood to be the commonest congenital malformation within the gastrointestinal tract with a prevalence of 2%, as found on autopsy studies. Although many cases are asymptomatic, complications can occur including haemorrhage, diverticulitis, chronic ulceration and intestinal obstruction. Intussusception is also a complication, but extremely rare. We present a rare case of Meckel's diverticulum causing intussusception, which was surgically resolved, in a 5-year-old girl. Our aim through this case report is to generate greater awareness of this complication and to provide some potential guidance towards its treatment.

摘要

梅克尔憩室被认为是胃肠道最常见的先天性畸形,尸检研究发现其患病率为2%。尽管许多病例无症状,但可能会出现并发症,包括出血、憩室炎、慢性溃疡和肠梗阻。肠套叠也是一种并发症,但极为罕见。我们报告一例5岁女孩因梅克尔憩室导致肠套叠的罕见病例,该病例通过手术得到解决。我们通过本病例报告旨在提高对这种并发症的认识,并为其治疗提供一些潜在的指导。

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BMJ Case Rep. 2014 Dec 24;2014:bcr2014207431. doi: 10.1136/bcr-2014-207431.
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Ileo-ileal intussusception due to inverted Meckel's diverticulum.因梅克尔憩室翻转导致的回肠-回肠套叠。
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[Ileocolic intussusception in an adult caused by inverted Meckel's diverticulum].[成人回结肠套叠由反转的梅克尔憩室引起]
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[Meckel's diverticulum in laparoscopic era].[腹腔镜时代的梅克尔憩室]
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[Meckel's diverticulum with peptic ulcer, diverticulitis and incipient intussusception].[伴有消化性溃疡、憩室炎及早期肠套叠的梅克尔憩室]
Ugeskr Laeger. 1960 May 26;122:718-9.
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Meckel's diverticulum in the pediatric surgical population.儿科手术人群中的梅克尔憩室
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本文引用的文献

1
Diverse presentations in pediatric Meckel's diverticulum: a review of 100 cases.小儿梅克尔憩室的多种表现:100例病例回顾
Pediatr Neonatol. 2014 Oct;55(5):369-75. doi: 10.1016/j.pedneo.2013.12.005. Epub 2014 Mar 28.
2
Meckel's diverticulum revealed by microcytic anemia: the contribution of CT enteroclysis.小细胞性贫血揭示的梅克尔憩室:CT小肠造影的作用
Diagn Interv Imaging. 2014 Jun;95(6):625-7. doi: 10.1016/j.diii.2014.01.014. Epub 2014 Mar 4.
3
Perforated Meckel's Diverticulum Lithiasis: An Unusual Cause of Peritonitis.穿孔性梅克尔憩室结石病:腹膜炎的一种罕见病因。
Case Rep Surg. 2013;2013:825628. doi: 10.1155/2013/825628. Epub 2013 May 29.
4
Inverted Meckel's diverticulum as a cause of occult lower gastrointestinal hemorrhage.Meckel 憩室倒置作为隐性下消化道出血的一个原因。
World J Gastroenterol. 2012 Nov 14;18(42):6155-9. doi: 10.3748/wjg.v18.i42.6155.
5
Bleeding Meckel's diverticulum in a 4-month-old infant: Treatment with laparoscopic diverticulectomy. A case report and review of the literature.一名4个月大婴儿的梅克尔憩室出血:腹腔镜憩室切除术治疗。病例报告及文献复习
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6
Imaging manifestations of Meckel's diverticulum.梅克尔憩室的影像学表现。
AJR Am J Roentgenol. 2007 Jul;189(1):81-8. doi: 10.2214/AJR.06.1257.
7
Meckel's diverticulum: a systematic review.梅克尔憩室:一项系统综述
J R Soc Med. 2006 Oct;99(10):501-5. doi: 10.1177/014107680609901011.
8
Management of incidentally found Meckel's diverticulum a new approach: resection based on a Risk Score.偶然发现的梅克尔憩室的管理:一种新方法——基于风险评分的切除术
Acta Chir Belg. 2006 Jul-Aug;106(4):467-70. doi: 10.1080/00015458.2006.11679933.
9
Diverticulectomy is inadequate treatment for short Meckel's diverticulum with heterotopic mucosa.憩室切除术对于伴有异位黏膜的短梅克尔憩室而言是不充分的治疗方法。
ANZ J Surg. 2004 Oct;74(10):869-72. doi: 10.1111/j.1445-1433.2004.03191.x.
10
Does the external appearance of a Meckel's diverticulum assist in choice of the laparoscopic procedure?梅克尔憩室的外观是否有助于腹腔镜手术方式的选择?
Pediatr Surg Int. 2002 May;18(4):231-3. doi: 10.1007/s003830100663.