Mani Vishnu R, Kalabin Aleksandr, Dinesh Anant, Rajabalan Ajai, Landa Marina, Adu Albert
Department of Surgery, New York University School of Medicine, and the Laura and Isaac Perlmutter Cancer Center, Columbia University School of Physicians and Surgeons at Harlem Hospital Center.
Department of General Surgery, Columbia University College of Physicians and Surgeons at Harlem Hospital Center.
Cureus. 2017 Oct 27;9(10):e1806. doi: 10.7759/cureus.1806.
Acute gastrointestinal obstruction can have a varied spectrum of clinical presentation and etiologies. It has been studied in detail and the management criteria have been well defined for the most part in our era. The etiologies are usually well defined. However, acute small bowel obstruction (SBO) due to intussusception caused by an inverted Meckel's diverticulum is a rare phenomenon that is often times missed on initial presentation and/or consequently until resected and visualized on pathological examination. We present a case of a 34-year-old presenting with symptoms and signs of acute intestinal obstruction and radiographic exam showing ileo-ileal intussusception. The patient failed to improve initially following conservative management and was taken to the operating room for small bowel resection which then revealed an inverted Meckel's diverticulum.
急性胃肠道梗阻的临床表现和病因多种多样。对此已进行了详细研究，在我们这个时代，大部分的治疗标准也已明确界定。病因通常很明确。然而，由倒转的梅克尔憩室引起肠套叠导致的急性小肠梗阻是一种罕见现象，常在初次就诊时被漏诊，和/或因此直到切除并经病理检查可视化时才被发现。我们报告一例34岁患者，其出现急性肠梗阻的症状和体征，影像学检查显示回肠-回肠套叠。患者最初经保守治疗后未见好转，遂被送往手术室进行小肠切除，结果发现一个倒转的梅克尔憩室。
