Suppr超能文献

一例腹膜后脓肿:梅克尔憩室的罕见并发症。

A case of retroperitoneal abscess: A rare complication of Meckel's diverticulum.

作者信息

Hong Jeana, Park Sung Bae

机构信息

Department of Pediatric, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Republic of Korea.

Department of Surgery, Kangwon National University Hospital, Kangwon National University School of Medicine, 17-1 Hyoja 3Dong, Chuncheon -Si, Kangwong-Do, 200-947, Republic of Korea.

出版信息

Int J Surg Case Rep. 2017;41:150-153. doi: 10.1016/j.ijscr.2017.10.012. Epub 2017 Oct 14.

Abstract

INTRODUCTION

The frequent complications of Meckel's diverticulum are hemorrhage, intestinal obstruction, and inflammation, and perforation. The presentation as a retroperitoneal abscess as complications of Meckel's diverticulum is a very rare clinical entity.

PRESENTATION OF CASE

We report a rare case of perforated Meckel's diverticulum with retroperitoneal abscess. A 31-year-old presented with a half-hour history of severe epigastric pain and diffuse periumbilical pain. Abdominal computed tomography (CT) revealed pneumoperitoneum and retroperitoneal abscesses which air, with diffuse infiltration of the small bowel mesentery and a tubular structure that originated in the ileum at the umbilicus level. Preoperative diagnosis was perforation of Meckel's diverticulum or small bowel perforation. We performed an approximate 10-cm segmental resection of the ileum that contained the Meckel's diverticulum.

DISCUSSION

Retroperitoneal abscesses are rare complications of Meckel's diverticulum and are associated with its perforation.

CONCLUSION

The complications of Meckel's diverticulum should be kept in mind in the differential diagnosis of retroperitoneal abscesses.

摘要

引言

梅克尔憩室常见的并发症有出血、肠梗阻、炎症和穿孔。梅克尔憩室并发腹膜后脓肿是一种非常罕见的临床情况。

病例介绍

我们报告一例罕见的梅克尔憩室穿孔伴腹膜后脓肿病例。一名31岁患者,有半小时严重上腹部疼痛和弥漫性脐周疼痛病史。腹部计算机断层扫描(CT)显示气腹和腹膜后脓肿,伴有小肠系膜弥漫性浸润以及在脐水平起源于回肠的管状结构。术前诊断为梅克尔憩室穿孔或小肠穿孔。我们对包含梅克尔憩室的约10厘米回肠段进行了切除。

讨论

腹膜后脓肿是梅克尔憩室罕见的并发症,与憩室穿孔有关。

结论

在腹膜后脓肿的鉴别诊断中应考虑梅克尔憩室的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b3f/5742015/b4a42a7db09c/gr1.jpg

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验