Gatto Janaina, Takada Jonas, Otoch Jose P, Kreve Fernanda, Loss Francisco S, Artifon Everson L A
Medical School Academic, Centro Universitário Fundação Assis Gurgacz. Cascavel, Brazil.
Department of Surgery, University of Sao Paulo. Sao Paulo, Brazil.
Rev Gastroenterol Peru. 2017 Apr-Jun;37(2):162-164.
We report a patient with diffuse peritonitis due to perforation of Meckel's diverticulum. This patient was referred to the operating room and underwent bowel resection segment encompassing the area of the diverticulum and terminoterminal primary enteroanastomosis on two levels with good evolution. The diverticulum complications are often related to the presence of ectopic mucosa, specially the gastric and pancreatic type. Since preoperative diagnosis is difficult and infrequent, in most cases this anomaly is confirmed only during surgery. Surgical resection of the affected intestinal segment is the mainstay of treatment in both diverticula diagnosed incidentally, as the complicated by inflammation, bleeding, obstruction or perforation. We conclude that in cases of acute abdomen punctured, the diagnosis of Meckel's diverticulum should be considered.
我们报告一例因梅克尔憩室穿孔导致弥漫性腹膜炎的患者。该患者被送往手术室，接受了包括憩室区域的肠段切除，并进行了两级端端原发性肠吻合术，术后恢复良好。憩室并发症通常与异位黏膜的存在有关，特别是胃型和胰腺型。由于术前诊断困难且不常见，在大多数情况下，这种异常仅在手术中得到证实。对于偶然诊断出的憩室以及并发炎症、出血、梗阻或穿孔的憩室，手术切除受影响的肠段是主要的治疗方法。我们得出结论，在急性腹痛穿刺的病例中，应考虑梅克尔憩室的诊断。
