处理 Meckel 憩室：切除还是不切除？

Managing Meckel diverticulum: To resect or not resect?

机构信息

Brian K. Yorkgitis is an assistant professor of surgery in the Division of Acute Care Surgery at the University of Florida College of Medicine-Jacksonville. Kalli Devecki is a general surgery resident in the Division of Acute Care Surgery at the University of Florida College of Medicine-Jacksonville. The authors have disclosed no potential conflicts of interest, financial or otherwise.

出版信息

JAAPA. 2020 Oct;33(10):30-32. doi: 10.1097/01.JAA.0000697244.35582.cb.

DOI:10.1097/01.JAA.0000697244.35582.cb

PMID:32976232

Abstract

The most common causes of small bowel obstruction are hernias and adhesive disease. Other causes include malignancy, inflammation, infection, and Meckel diverticulum with an omphalomesenteric ligament. This article describes a patient who presented to the ED with abdominal pain, nausea, and vomiting. A CT scan revealed dilated loops of bowel with an adjacent air-filled structure, possibly related to an internal hernia. Meckel diverticulum was discovered on diagnostic laparoscopy and a mesodiverticular band was lysed; the diverticulum was left in situ. The patient did well without further invention needed.

摘要

小肠梗阻最常见的原因是疝和粘连性疾病。其他原因包括恶性肿瘤、炎症、感染和带有卵黄肠韧带的梅克尔憩室。本文描述了一位因腹痛、恶心和呕吐而到急诊科就诊的患者。CT 扫描显示扩张的肠袢伴有相邻的充气结构，可能与内疝有关。在诊断性腹腔镜检查中发现梅克尔憩室，并松解了中间憩室带；憩室被留在原位。患者恢复良好，无需进一步治疗。