Hamza Astrit R, Bicaj Besnik X, Kurshumliu Fisnik I, Zejnullahu Valon A, Sada Fatos E, Krasniqi Avdyl S
Department of Abdominal Surgery, Clinic of Surgery, University Clinical Centre of Kosova (UCCK), 10000, Prishtina, Kosovo; Faculty of Medicine, University of Prishtina, 10000, Prishtina, Kosovo.
Faculty of Medicine, University of Prishtina, 10000, Prishtina, Kosovo; Institute of Anatomic Pathology, University Clinical Centre of Kosova (UCCK), 10000, Prishtina, Kosovo.
Int J Surg Case Rep. 2016;26:50-2. doi: 10.1016/j.ijscr.2016.06.043. Epub 2016 Jul 6.
A Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal (GI) tract. They arise from the middle-to-distal ileum. Contrary to MD, intestinal duplication cyst (IDC) is uncommon congenital anomaly of GI, but can occur anywhere from the tongue to the anus.
Here we report an 18-year-old male who presented to the department of abdominal surgery with chronic abdominal pain, frequent vomiting and mild abdominal distension. Following radiological investigation, a laparotomy was performed with the preoperative diagnosis of a mesenteric cyst. Intraoperativelly it became apparent that the cystic mass was on the mesenteric aspect of the small bowel without intestinal communication. Resection of the cyst was performed. Histological examination of the specimen revealed the presence of gastric tissue, which resembles MD. Although, the exact diagnosis of this cystic mass is ambiguous between MD and IDC, because of similar clinical signs, their complications and presence of gastric mucosa, however surgical treatment is gold standard of both.
This case report underlines the necessity of how to differentiate between MD and IDC, although, surgical management is recommended for both.
梅克尔憩室（MD）是胃肠道最常见的先天性异常。它们起源于回肠中远端。与梅克尔憩室相反，肠重复囊肿（IDC）是胃肠道罕见的先天性异常，但可发生于从舌到肛门的任何部位。
我们在此报告一名18岁男性，因慢性腹痛、频繁呕吐和轻度腹胀就诊于腹部外科。经过影像学检查后，进行了剖腹手术，术前诊断为肠系膜囊肿。术中发现囊性肿物位于小肠肠系膜侧，与肠腔不通。对囊肿进行了切除。标本的组织学检查显示存在胃组织，这类似于梅克尔憩室。尽管由于临床症状相似、并发症相同以及胃黏膜的存在，这个囊性肿物的确切诊断在梅克尔憩室和肠重复囊肿之间尚不明确，然而手术治疗是两者的金标准。
本病例报告强调了区分梅克尔憩室和肠重复囊肿的必要性，尽管两者均建议进行手术治疗。
