Camelo Rita, Santos Paula, Mateus Marques Rui
Serviço de Imagiologia, Hospital de São José, Centro Hospitalar Lisboa Central, Lisbon, Portugal.
Departamento de Radiologia, NOVA Medical School, Faculdade de Ciências Médicas da Universidade Nova de Lisboa, Lisbon, Portugal.
GE Port J Gastroenterol. 2019 Jul;26(4):285-289. doi: 10.1159/000493439. Epub 2018 Oct 31.
Meckel's diverticulum is the commonest congenital anomaly of the gastrointestinal tract. Its complications have an extensive variety of clinical and imaging manifestations, extending from benign and indolent findings to acute life-threatening conditions. Complicated Meckel's diverticulum often constitutes a challenging diagnosis for both the clinician and the radiologist. Therefore, imaging techniques play an important role in this condition in evaluating its complications, determining decision making. We describe a case of a 49-year-old man suffering from right abdominal pain with fever and constipation, during the past 5 days. Laboratory data revealed C-reactive protein of 306 mg/L and leukocytosis. Contrast-enhanced CT features were highly suggestive of perforated Meckel's diverticulum. The purpose of this article is to emphasize that besides its rarity, Meckel's diverticulum complications can occur in adult patients.
梅克尔憩室是胃肠道最常见的先天性异常。其并发症具有广泛多样的临床和影像学表现，从良性和隐匿性表现到急性危及生命的情况。复杂的梅克尔憩室对临床医生和放射科医生来说常常是一个具有挑战性的诊断。因此，成像技术在评估其并发症、确定决策方面发挥着重要作用。我们描述了一例49岁男性病例，在过去5天里出现右腹痛伴发热和便秘。实验室数据显示C反应蛋白为306mg/L且白细胞增多。增强CT特征高度提示梅克尔憩室穿孔。本文的目的是强调，除了其罕见性外，梅克尔憩室并发症也可发生在成年患者中。
