巨大梅克尔憩室导致的小肠梗阻
Small Bowel Obstruction due to a Giant Meckel's Diverticulum.
作者信息
Luu Andreas Minh, Meurer Kirsten, Herzog Torsten, Uhl Waldemar, Tannapfel Andrea, Braumann Chris
机构信息
Department of General and Visceral Surgery, St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Institute of Pathology, Ruhr-University Bochum, Bochum, Germany.
出版信息
Visc Med. 2016 Dec;32(6):434-436. doi: 10.1159/000450589. Epub 2016 Nov 22.
BACKGROUND
Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract, with an average length of 3 cm. Complications occur in 6.4% and most commonly include inflammation and gastrointestinal bleeding. Preoperative diagnosis is demanding and achieved in 4%.
CASE REPORT
A 34-year-old otherwise healthy patient presented with an acute abdomen due to small bowel obstruction. Computed tomography scan could not identify the underlying cause. Emergency laparotomy was performed, and a torqued giant Meckel's diverticulum measuring 17 cm was found as the underlying cause for the small bowel obstruction. Resection of the affected ileum segment and ileo-ileal reconstruction were performed. The postoperative course was uneventful.
CONCLUSION
In extremely rare cases, small bowel obstruction in an otherwise healthy patient might be caused by torsion of a symptomatic giant Meckel's diverticulum.
背景
梅克尔憩室是胃肠道最常见的先天性异常，平均长度为3厘米。并发症发生率为6.4%，最常见的包括炎症和胃肠道出血。术前诊断具有挑战性，确诊率为4%。
病例报告
一名34岁身体健康的患者因小肠梗阻出现急腹症。计算机断层扫描未能确定潜在病因。遂进行急诊剖腹手术，发现一个扭转的巨大梅克尔憩室，长17厘米，是小肠梗阻的潜在病因。切除受累的回肠段并进行回肠-回肠重建。术后过程顺利。
结论
在极其罕见的情况下，身体健康的患者出现小肠梗阻可能是由有症状的巨大梅克尔憩室扭转引起的。
Zotero 插件