梅克尔憩室存在时直肠癌低位前切除术后功能不良的袢式回肠造口术：病例报告

Dysfunctional loop ileostomy after low anterior resection for rectal cancer in the presence of Meckel's diverticulum: a case report.

作者信息

Spiridakis Konstadinos G, Sfakianakis Eleftherios E, Flamourakis Manthos E, Theodoros Margetousakis C, Rahmanis Efstathios K, Polychronaki Evaggelia M, Kostakis George E, Papadakis Theodoros G, Hristodoulakis Manousos S

机构信息

Department of Surgery, General Hospital of Heraklion Crete, Venizelio, Greece.

出版信息

J Med Case Rep. 2015 Sep 10;9:192. doi: 10.1186/s13256-015-0673-x.

DOI:10.1186/s13256-015-0673-x

PMID:26353755

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4565006/

Abstract

INTRODUCTION

A temporary protective loop ileostomy is a routine procedure to protect the anastomosis in patients who undergo low anterior resection for rectal cancer. The aim of this case report is to present a rare complication caused by Meckel's diverticulum.

CASE PRESENTATION

We describe a case of a 71-year-old white man with dysfunctional ileostomy after low anterior resection for rectal cancer due to adhesions and pressing effects of Meckel's diverticulum near the ileostomy site, which led to volvulus of his small intestine and obstruction. As a result he underwent a supplementary operation to resolve this complication by Meckel's diverticulum resection.

CONCLUSIONS

During a low anterior resection for rectal cancer and a protective ileostomy procedure the presence of Meckel's diverticulum should not be ignored. Our proposal is the primary resection of Meckel's diverticulum as the best surgical choice; according to the limited international literature on such cases we report a possible alternative to a protective ileostomy by creating a conduit using Meckel's diverticulum as a stoma.

摘要