Hong Jeana, Park Sung Bae
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.
Int J Surg Case Rep. 2017;41:150-153. doi: 10.1016/j.ijscr.2017.10.012. Epub 2017 Oct 14.
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.
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.
Retroperitoneal abscesses are rare complications of Meckel's diverticulum and are associated with its perforation.
The complications of Meckel's diverticulum should be kept in mind in the differential diagnosis of retroperitoneal abscesses.
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。
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。
腹膜后脓肿是梅克尔憩室罕见的并发症,与憩室穿孔有关。
在腹膜后脓肿的鉴别诊断中应考虑梅克尔憩室的并发症。