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[19岁男性梅克尔憩室肠套叠的不寻常临床表现——病例报告]

[Unusual clinical picture of Meckel's diverticulum intussusception in 19-year-old man - a case report].

作者信息

Lubszczyk Michał, Kaliszewski Krzysztof, Strutyńska-Karpińska Marta

机构信息

Medical University of Wroclaw, Poland: Studenct's Scientific Group of the I Department of General Surgery, Gastroenterology and Endocrinology.

Medical University of Wroclaw, Poland: I Department of General Surgery, Gastroenterology and Endocrinology.

出版信息

Pol Merkur Lekarski. 2015 Jun;38(228):332-4.

Abstract

Meckel diverticulum is the most common congenital defect of samll intestine. In most cases it remains asymptomatic, however in some patients it may be the cause of many nonspecific signs and symptoms. In this paper we would like to present a case of intestinal obstruction caused by Meckel diverticulum intussusception in the ileum in 19- year-old patient. The patient complaint of dull abdominal pain which have been subsiding for hours and vomiting. Results of laboratory test were within normal limits. Abdomian X-ray suggested mechanic obstruction of small intestine. Patient was qualified for urgent surgery. During the operation intussusception of 10 cm of small intestine was found. The leading point of intussusception was long Meckel diverticulum with single, small connection with omentum. The authors wish to note that in the differential diagnosis of non-specific, recurrent pain and mechanical small bowel obstruction, regardless of age, the presence of Meckel diverticulum should always be taken into consideration.

摘要

梅克尔憩室是小肠最常见的先天性缺陷。在大多数情况下,它保持无症状,但在一些患者中,它可能是许多非特异性体征和症状的原因。在本文中,我们想介绍一例19岁患者因回肠梅克尔憩室肠套叠导致肠梗阻的病例。患者主诉腹部隐痛,已持续数小时并伴有呕吐。实验室检查结果在正常范围内。腹部X线提示小肠机械性梗阻。患者符合紧急手术条件。手术中发现10厘米小肠发生肠套叠。肠套叠的起始点是一个长的梅克尔憩室,与网膜有单一的小连接。作者希望指出,在非特异性、复发性疼痛和机械性小肠梗阻的鉴别诊断中,无论年龄大小,都应始终考虑梅克尔憩室的存在。

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