Das Jeeban Paul, O' Malley Eoin, Iqbal Asif, Roche Clare
Radiology, University Hospital Galway, Galway, IRL.
Surgery, University Hospital Galway, Galway, IRL.
Cureus. 2019 Feb 5;11(2):e4020. doi: 10.7759/cureus.4020.
Perforated Meckel's diverticulum (MD) is a rare cause of acute abdomen in adults. We describe the case of a 32-year-old man presenting with worsening abdominal pain three weeks following the piercing of his umbilicus. Computed tomography of the abdomen and pelvis demonstrated a small mesenteric collection intimately related to the recently placed navel ornamentation, and a preliminary diagnosis of intra-abdominal abscess secondary to an infected umbilical piercing was made. Initial conservative management with antibiotic therapy was unsuccessful. Subsequent open surgical approach demonstrated an inflamed, perforated Meckel's diverticulum with a small, adjacent infected collection separate from, but in close proximity to the belly-button foreign body. The patient was successfully treated with small bowel resection and followed an uneventful postoperative course.
穿孔性梅克尔憩室（MD）是成人急性腹痛的罕见病因。我们描述了一名32岁男性的病例，他在脐部穿孔三周后出现腹痛加重。腹部和骨盆的计算机断层扫描显示，一个小的肠系膜积液与最近佩戴的肚脐饰品密切相关，初步诊断为脐部感染穿孔继发腹腔脓肿。最初的抗生素保守治疗未成功。随后的开放手术显示，一个发炎、穿孔的梅克尔憩室，有一个小的、相邻的感染灶，与肚脐异物分开但紧邻。患者通过小肠切除术成功治疗，术后恢复顺利。
