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一名老年患者梅克尔憩室穿孔的CT表现

CT findings of Meckel's diverticulum perforation in a geriatric patient.

作者信息

Yi Grace, Chavda Kiran, Omodon Melvin

机构信息

Regional Medical Center Bayonet Point, 14000 Fivay Road, Hudson, FL 34667, USA.

出版信息

Radiol Case Rep. 2020 Mar 19;15(5):592-595. doi: 10.1016/j.radcr.2020.02.016. eCollection 2020 May.

DOI:10.1016/j.radcr.2020.02.016
PMID:32215159
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7083787/
Abstract

Meckel's diverticulum is a remnant of the omphalomesenteric duct, found only in approximately 2% of the population. Although Meckel's diverticulum is often diagnosed in nonsymptomatic patients as incidental radiologic findings, complications of Meckel's diverticulum can also be seen on radiologic evaluation. We present a rare care of perforated Meckel's diverticulum in a geriatric patient demonstrated on contrast computed tomography. This was later confirmed during laparoscopic surgery with pathologic evaluation.

摘要

梅克尔憩室是卵黄管的残余物,仅在约2%的人群中发现。虽然梅克尔憩室常在无症状患者中作为偶然的影像学发现被诊断出来,但梅克尔憩室的并发症在影像学评估中也可见。我们展示了一例老年患者的梅克尔憩室穿孔罕见病例,在对比增强计算机断层扫描中得以显示。这一诊断后来在腹腔镜手术及病理评估中得到证实。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/486a/7083787/8877c51a998c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/486a/7083787/a8940b8853e8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/486a/7083787/8877c51a998c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/486a/7083787/a8940b8853e8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/486a/7083787/8877c51a998c/gr2.jpg

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本文引用的文献

1
Complicated Meckel's diverticulum: Presentation modes in adults.复杂型梅克尔憩室:成人的表现形式
Medicine (Baltimore). 2018 Sep;97(38):e12457. doi: 10.1097/MD.0000000000012457.
2
Spontaneous perforation of Meckel's diverticulum: a case report and review of literature.梅克尔憩室自发性穿孔:一例病例报告及文献综述
Pan Afr Med J. 2015 Apr 1;20:319. doi: 10.11604/pamj.2015.20.319.5980. eCollection 2015.
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Radiologist's perspective for the Meckel's diverticulum and its complications.放射科医生对梅克尔憩室及其并发症的观点。
Br J Radiol. 2014 May;87(1037):20130743. doi: 10.1259/bjr.20130743. Epub 2014 Feb 17.
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Emergency surgery for Meckel's diverticulum. Meckel 憩室的急诊手术。
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Imaging manifestations of Meckel's diverticulum.梅克尔憩室的影像学表现。
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From the archives of the AFIP. Meckel diverticulum: radiologic features with pathologic Correlation.源自武装部队病理研究所档案。梅克尔憩室:影像学特征与病理对照
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Meckel diverticulum: a geriatric disease masquerading as common gastrointestinal tract disorders.梅克尔憩室:一种伪装成常见胃肠道疾病的老年疾病。
Arch Intern Med. 2003 Sep 22;163(17):2093-6. doi: 10.1001/archinte.163.17.2093.
9
The natural history of Meckel's Diverticulum and its relation to incidental removal. A study of 202 cases of diseased Meckel's Diverticulum found in King County, Washington, over a fifteen year period.梅克尔憩室的自然病史及其与偶然切除的关系。对华盛顿州金县在15年期间发现的202例患病梅克尔憩室病例的研究。
Am J Surg. 1976 Aug;132(2):168-73. doi: 10.1016/0002-9610(76)90043-x.