Levack Melissa M, Fiedler Amy G, Kaafarani Haytham, King David R
Department of Surgery, Massachusetts General Hospital, Boston, MA, USA.
J Surg Case Rep. 2018 Jun 13;2018(6):rjy126. doi: 10.1093/jscr/rjy126. eCollection 2018 Jun.
Meckel's diverticulum is a remnant of the embryologic omphalomeseteric duct and is a common congenital anomaly found in ~2% of the population. The clinical significance of this anomaly is that the persistent diverticulum can lead to intestinal obstruction or diverticulitis and may contain ectopic tissue which can lead to bleeding, ulceration or perforation. The classic location of a Meckel's diverticulum has been described ~40 cm from the ileocecal valve on the antimesenteric side of the distal ileum. There have only been a few documented cases of a Meckel's diverticulum found on the mesenteric border of the ileum. In this report, we describe a patient who presented with a perforated Meckel's diverticulum which was found on the mesenteric border and performed a review to determine the significance of this finding.
梅克尔憩室是胚胎卵黄管的残余物，是一种常见的先天性异常，在约2%的人群中可见。这种异常的临床意义在于，持续存在的憩室可导致肠梗阻或憩室炎，并且可能含有异位组织，进而导致出血、溃疡或穿孔。梅克尔憩室的经典位置描述为距回盲瓣约40厘米，位于回肠远端的系膜对侧。仅有少数文献记载的病例显示梅克尔憩室位于回肠的系膜缘。在本报告中，我们描述了一名患者，其梅克尔憩室穿孔位于系膜缘，并进行了回顾以确定这一发现的意义。
