Sarkardeh Maryam, Sani Seyed Javad Davari
Department of Surgery, Imam Reza Hospital, Mashhad University of Medical Science, Mashhad, Iran.
Medical Student, Student Research Committee, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Case Rep Surg. 2020 May 30;2020:9303059. doi: 10.1155/2020/9303059. eCollection 2020.
Meckel's diverticulum is a vestigial remnant of the omphalomesenteric duct that in most cases (53%) is diagnosed in the first two years of life. . A variety of complications are related to Meckel's diverticulum including bleeding, intestinal obstruction, but in adults, the most important complication is intestinal obstruction. We reported Meckel's diverticulum in a 92-year-old woman with symptoms of intestinal obstruction including abdominal pain, vomitus, and abdominal distention who referred to the hospital emergency. Imaging findings showed intestinal obstruction and laparotomy showed that the cause of intestinal obstruction was Meckel's diverticulum. Finally, Meckel's diverticulum was resected and the patient recovered.
Intestinal obstruction because of a large Meckel's diverticulum in an elderly woman is rare and requires a high attention for diagnosis, and it is almost discovered by surgery.
梅克尔憩室是卵黄管的残余遗迹，大多数情况下（53%）在生命的头两年被诊断出来。梅克尔憩室会引发多种并发症，包括出血、肠梗阻，但在成年人中，最重要的并发症是肠梗阻。我们报告了一名92岁女性的梅克尔憩室病例，该患者因肠梗阻症状（包括腹痛、呕吐和腹胀）被送往医院急诊。影像学检查结果显示肠梗阻，剖腹手术表明肠梗阻的病因是梅克尔憩室。最后，切除了梅克尔憩室，患者康复。
老年女性因巨大梅克尔憩室导致肠梗阻的情况罕见，诊断时需要高度关注，几乎都是通过手术发现的。
