Brophy C, Seashore J
Conn Med. 1989 Apr;53(4):203-5.
Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract. We reviewed our experience with 31 cases of Meckel's diverticulum in children from 1966 to 1987. Twenty-four patients presented with clinical manifestations: ten from bleeding, ten from obstruction, and four from diverticulitis. Seven Meckel's were incidental findings at laparotomy. Fifty percent of the patients with bleeding had abdominal pain and 100% had ectopic gastric mucosa in the Meckel's. In six cases the technetium scan identified the Meckel's; there was one false negative scan. Obstruction secondary to a Meckel's diverticulum was due to an internal hernia in five and to intussusception in five. Three patients with intussusception had concomitant bleeding. Diverticulitis was clinically similar to appendicitis. There were no complications and no deaths following surgical resection of Meckel's diverticulum.
梅克尔憩室是胃肠道最常见的先天性异常。我们回顾了1966年至1987年间31例儿童梅克尔憩室的治疗经验。24例患者有临床表现：10例因出血，10例因梗阻，4例因憩室炎。7例梅克尔憩室是在剖腹手术中偶然发现的。出血患者中有50%伴有腹痛，梅克尔憩室中有100%存在异位胃黏膜。6例患者通过锝扫描确诊为梅克尔憩室；有1例假阴性扫描。梅克尔憩室继发的梗阻，5例是由于内疝，5例是由于肠套叠。3例肠套叠患者同时伴有出血。憩室炎在临床上与阑尾炎相似。梅克尔憩室手术切除后无并发症且无死亡病例。
