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梅克尔憩室胃肠道间质瘤引起的大量出血。

A massive bleeding from a gastrointestinal stromal tumor of a Meckel's diverticulum.

作者信息

Chabowski Mariusz, Szymanska-Chabowska Anna, Dorobisz Tadeusz, Janczak Dawid, Jelen Michał, Janczak Dariusz

出版信息

Srp Arh Celok Lek. 2016 Mar-Apr;144(3-4):219-21. doi: 10.2298/sarh1604219c.

Abstract

INTRODUCTION

Meckel's diverticulum is the most common congenital anomaly of the gastro intestinal tract, present in about 2% of population.

CASE OUTLINE

The article presents the case of a 44-year-old otherwise healthy man with anemia, who was diagnosed lower gastrointestinal bleeding. An abdominal CT scan revealed a clearly demarcated solid tumor in hypogastric region, measuring 65 x 45 mm. A laparotomy through lower midline incision was performed. A surgical resection of a lesion of a Meckel's diverticulum was carried out and a final diagnosis of gastrointestinal stromal tumor was made.The patient made an uneventful recovery.

CONCLUSION

The preoperative diagnosis of a complicated Meckel's diverticulum may be challenging. CT is usually an adequate method to diagnose tumors arising from Meckel's diverticulum.

摘要

引言

梅克尔憩室是胃肠道最常见的先天性异常,约2%的人群中存在。

病例概述

本文介绍了一名44岁身体健康但患有贫血的男性病例,该患者被诊断为下消化道出血。腹部CT扫描显示下腹部有一个边界清晰的实性肿瘤,大小为65×45毫米。通过下腹部正中切口进行了剖腹手术。对梅克尔憩室病变进行了手术切除,最终诊断为胃肠道间质瘤。患者恢复顺利。

结论

复杂梅克尔憩室的术前诊断可能具有挑战性。CT通常是诊断梅克尔憩室来源肿瘤的合适方法。

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