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由 Meckel 憩室引起的内疝:一例报告。

An internal hernia caused by Meckel's diverticulum: a case report.

机构信息

Department of Gastrointestinal Surgery, First Hospital of Jilin University, Changchun, 130021, Jilin, China.

出版信息

BMC Gastroenterol. 2020 Mar 12;20(1):69. doi: 10.1186/s12876-020-01211-4.

Abstract

BACKGROUND

Meckel's diverticulum is a remnant of the omphalomesenteric duct. It can lead to intestinal perforation, obstruction and gastrointestinal bleeding. While the internal hernia caused by Meckel's diverticulum is rarely reported.

CASE PRESENTATION

We report a case of a 45-year old female patient who presented with intestinal obstruction and on laparotomy was found to have Meckel's diverticulum with internal hernia causing intestinal gangrene. Segmental bowel resection was performed and the patient had uneventful recovery.

CONCLUSIONS

In patients with acute intestinal obstruction without previous abdominal surgery, Meckel's diverticulum and its complications should be suspected.

摘要

背景

梅克尔憩室是卵黄管的残余物。它可导致肠穿孔、梗阻和胃肠道出血。而梅克尔憩室引起的内疝则很少报道。

病例介绍

我们报告了一例 45 岁女性患者,因肠梗阻就诊,剖腹探查发现梅克尔憩室伴内疝导致肠坏死。行肠段切除术,患者恢复顺利。

结论

对于无既往腹部手术史的急性肠梗阻患者,应怀疑梅克尔憩室及其并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a71/7069052/37558a4e4d47/12876_2020_1211_Fig1_HTML.jpg

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