Kuramoto Kunitaka, Nakahara Osamu, Maeda Yuto, Kumamoto Sayahito, Tsuji Akira, Hayashida Shintaro, Oya Yuki, Shibata Hidekatsu, Iizaka Masayoshi, Tomiyasu Shinjiro, Hayashi Hironori, Inomata Yukihiro, Baba Hideo
Department of Surgery, Kumamoto Rosai Hospital, Kumamoto, Japan.
Department of Gastroenterology, Kumamoto University, Kumamoto, Japan.
J Surg Case Rep. 2019 Jul 4;2019(7):rjz210. doi: 10.1093/jscr/rjz210. eCollection 2019 Jul.
A 65-year-old male patient presented with a chief complaint of abdominal pain. Abdominal computed tomography (CT) showed slight intestinal dilation and obstruction of the upper right quadrant of the small intestine, while ectopic gastric mucosal scintigraphy revealed abnormal accumulation in agreement with the CT-identified structure. The cause of bowel obstruction was diagnosed as Meckel's diverticulum; the patient was referred for surgery. A small laparotomy was performed with a 35-mm skin incision to the center of the navel. Once a lap disk was attached, a laparoscope was inserted to visualize the abdominal cavity. The small intestine that includes the structure was pulled out from the umbilicus to the outside of the peritoneal cavity and partially resected. On the pathological tissue findings, the patient was diagnosed with Meckel's diverticulum. We report our experience with single-lap laparoscopic surgery for a case of intestinal obstruction caused by Meckel's diverticulum and review pertinent literature.
一名65岁男性患者以腹痛为主诉就诊。腹部计算机断层扫描（CT）显示小肠轻度扩张及小肠右上象限梗阻，而异位胃黏膜闪烁显像显示与CT所确定结构一致的异常聚集。肠梗阻的病因诊断为梅克尔憩室；该患者被转诊接受手术。通过在肚脐中心做一个35毫米的皮肤切口进行小剖腹术。一旦连接上腹腔镜盘，便插入腹腔镜以观察腹腔。将包含该结构的小肠从脐部拉出至腹膜腔外并部分切除。根据病理组织检查结果，该患者被诊断为梅克尔憩室。我们报告单孔腹腔镜手术治疗梅克尔憩室所致肠梗阻一例的经验并复习相关文献。
