Dimitrov D, Chupetlovski S
Khirurgiia (Sofiia). 1989;42(3):28-33.
Sixteen cases of Meckel's diverticulum are reported, 14 of them detected during emergency operative intervention for acute surgical abdomen and 2 during planned operation. The complicated forms of Meckel's diverticulum were 10: acute diverticulitis 4 (25 per cent), intestinal obstruction 4 (25 per cent), neoplastic process 1 (6.25 per cent), intestinal hemorrhage 1 (6.25 per cent). Symptom-free were 43.75 per cent of the diverticuli. The clinical symptoms of acute diverticulitis resembled much those of acute appendicitis. The method of choice for its surgical management is cuneiform resection of the intestinal wall at the site of the diverticulum and transverse reconstruction of the intestinal lumen. Cancer of the diverticulum requires extended intestinal resection.
报告了16例梅克尔憩室病例，其中14例在急性腹痛的急诊手术干预期间被发现，2例在计划手术期间被发现。梅克尔憩室的复杂形式有10例：急性憩室炎4例（25%）、肠梗阻4例（25%）、肿瘤性病变1例（6.25%）、肠出血1例（6.25%）。43.75%的憩室无症状。急性憩室炎的临床症状与急性阑尾炎非常相似。其手术治疗的首选方法是在憩室部位楔形切除肠壁并横向重建肠腔。憩室癌需要扩大肠切除。
