Kang Sung Il, Gu Mi Jin
Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea.
Department of Pathology, Yeungnam University College of Medicine, Daegu, Korea.
Yeungnam Univ J Med. 2020 Jul;37(3):226-229. doi: 10.12701/yujm.2019.00388. Epub 2019 Dec 18.
We present a rare case of synchronous ileal inflammatory fibroid polyp and Meckel's diverticulum detected during laparoscopic surgery for adult intussusception. A 48-year-old woman presented with sudden onset of severe abdominal pain. Abdominal computed tomography revealed a segment of ileocecal intussusception. Thus, laparoscopic exploration was performed, which revealed an ileal mass with an outpouching closed luminal structure in the distal ileum. Two abnormal structures were resected via mini-laparotomy, and the patient was discharged without postoperative complications. Histopathological examination confirmed an ileal inflammatory fibroid polyp and Meckel's diverticulum with ectopic pancreatic tissue.
我们报告一例罕见的在腹腔镜手术治疗成人肠套叠过程中发现的同步性回肠炎性纤维瘤息肉和梅克尔憩室病例。一名48岁女性突发剧烈腹痛。腹部计算机断层扫描显示一段回盲部肠套叠。因此,进行了腹腔镜探查,发现回肠有一肿物,在回肠远端有一个呈盲端腔结构的憩室样突出。通过小切口剖腹术切除了两个异常结构,患者术后无并发症出院。组织病理学检查证实为回肠炎性纤维瘤息肉和伴有异位胰腺组织的梅克尔憩室。