成年女性梅克尔憩室自发性穿孔并文献复习
Spontaneous perforation of Meckel's diverticulum in an adult female with literature review.
作者信息
Fraser Andrew A, Opie Douglas D, Gnecco James, Nashed Beshoy, Johnson David C
机构信息
General Surgery Department, Mountain Vista Medical Center, 1301 S Crismon, Mesa, AZ, 85209, USA.
, Glendale, USA.
出版信息
Surg Case Rep. 2018 Nov 1;4(1):129. doi: 10.1186/s40792-018-0536-y.
BACKGROUND
Perforated Meckel's diverticulum is a rare complication of an already rare disease process, which often mimics a perforated appendix on presentation and diagnosis. The majority of case reports for perforation involve either a foreign body or fecalith.
CASE PRESENTATION
We report the case of a 54-year-old female who initially presented at another institution with signs and symptoms of acute appendicitis and underwent appendectomy with a drain left in place. Subsequently, she underwent exploratory laparotomy at our institution for a perceived stump leak or incidental perforation and was found to have a perforated Meckel's, with no evidence of foreign body or fecalith.
CONCLUSION
The literature of Meckel's diverticulum is reviewed, and we discuss the difficulty in diagnosis as well as the quandary of incidental resection.
背景
梅克尔憩室穿孔是一种罕见疾病进程的罕见并发症，在临床表现和诊断上常类似阑尾穿孔。大多数关于穿孔的病例报告涉及异物或粪石。
病例报告
我们报告一例54岁女性病例，该患者最初在另一家机构表现出急性阑尾炎的症状和体征，并接受了阑尾切除术，术中留置了引流管。随后，她因疑似残端渗漏或偶然穿孔在我院接受了剖腹探查术，结果发现是梅克尔憩室穿孔，未发现异物或粪石的证据。
结论
回顾了梅克尔憩室的相关文献，并讨论了诊断的困难以及偶然切除的困境。
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