Bellini Davide, Maceroni Marco Maria, Cavallaro Giuseppe, De Santis Domenico, Iorio Olga, Rengo Marco, Silecchia Gianfranco, Laghi Andrea
Department of Radiological Sciences, Oncology and Pathology, Sapienza-University of Rome, Latina, Italy.
Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University, Rome, Italy.
BJR Case Rep. 2015 Dec 1;2(1):20150131. doi: 10.1259/bjrcr.20150131. eCollection 2016.
We report a case of small bowel obstruction (SBO) caused by internal hernia from persistent attachment of a Meckel's diverticulum (MD) to the umbilicus by the obliterated omphalomesenteric duct that was diagnosed by multidetector CT and confirmed during laparoscopic surgery. Although clinical, pathological and radiological features of MD and its complications are well known, the diagnosis of MD is difficult to establish preoperatively. CT findings that allow the diagnosis of this very unusual cause of SBO are presented here with laparoscopic surgery correlation.
我们报告一例小肠梗阻（SBO）病例，其由梅克尔憩室（MD）通过闭锁的卵黄管持续附着于脐部导致内疝引起，该病例经多排螺旋CT诊断，并在腹腔镜手术中得到证实。尽管MD及其并发症的临床、病理和放射学特征已为人熟知，但MD的术前诊断仍很困难。本文展示了有助于诊断这种非常罕见的SBO病因的CT表现，并与腹腔镜手术结果相关联。
