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成人粪石致梅克尔憩室穿孔:一例报告并文献复习

Perforated Meckel's diverticulum in an adult due to faecolith: A case report and review of literature.

作者信息

Modi Sunny, Kanapathy Pillai Shant, DeClercq Stefaan

机构信息

Rockhampton Base Hospital, Australia.

出版信息

Int J Surg Case Rep. 2015;15:143-5. doi: 10.1016/j.ijscr.2015.07.029. Epub 2015 Aug 22.

Abstract

Meckel's diverticulum (MD) is a persistent remnant of the vitelointestinal duct and is present in 2% of population [1]. It is the most common congenital malformation of the gastrointestinal tract. It can present clinically as haemorrhage, diverticulitis, intussusception, chronic ulceration, intestinal obstruction and perforation. Complicated presentation, especially bleeding, tends to be more common in the paediatric group, whereas intestinal obstruction is more common in adults [2]. Patients with a perforation of Meckel's diverticulum by an enterolith are rare and may present with right iliac fossa pain, which mimics acute appendicitis.

摘要

梅克尔憩室(MD)是卵黄肠管的持续残留,在2%的人群中存在[1]。它是胃肠道最常见的先天性畸形。其临床表现可为出血、憩室炎、肠套叠、慢性溃疡、肠梗阻和穿孔。复杂的表现,尤其是出血,在儿童组中往往更常见,而肠梗阻在成人中更常见[2]。因肠石导致梅克尔憩室穿孔的患者很少见,可能表现为右下腹疼痛,类似急性阑尾炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de5f/4601945/04c9aa140563/gr1.jpg

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