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梅克尔憩室炎。小肠梗阻的罕见病因。

Meckel's Diverticulitis. A rare cause of small bowel obstruction.

作者信息

Skarpas Andreas, Siaperas Petros, Zoikas Athanasios, Griva Emmanouela, Kyriazis Ioannis, Velimezis Georgios, Karanikas Ioannis

机构信息

2nd Department of Surgery G.H. Sismanoglion, Sismanogliou 37, 15126 Marousi, Greece.

出版信息

J Surg Case Rep. 2020 Sep 30;2020(9):rjaa339. doi: 10.1093/jscr/rjaa339. eCollection 2020 Sep.

DOI:10.1093/jscr/rjaa339
PMID:33024533
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7524604/
Abstract

Meckel's Diverticulum is a sac-like protrusion of the intestinal wall. It is located at 40-60 cm from the caecum. In the majority of cases, Meckel's Diverticulum is clinically silent, while complications are found in 4% of the population. Complicated diverticulitis is associated with the formation of abscess, fistula, bowel obstruction or frank perforation. We present a case of a 63-year-old woman with a distended abdomen, pain in the lower right abdominal quadrant, fever 37°C and where emergency exploratory laparotomy revealed that obstruction was caused by a bowel loop trapped by a mesenterium-diverticular band.

摘要

梅克尔憩室是肠壁的囊状突出物。它位于距盲肠40 - 60厘米处。在大多数情况下,梅克尔憩室在临床上没有症状,而4%的人群会出现并发症。复杂性憩室炎与脓肿、瘘管、肠梗阻或肠穿孔的形成有关。我们报告一例63岁女性病例,该患者腹部膨隆,右下象限疼痛,体温37°C,急诊剖腹探查发现梗阻是由一条肠系膜 - 憩室带困住肠袢所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc11/7524604/75587f85b942/rjaa339f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc11/7524604/3a7e163c516c/rjaa339f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc11/7524604/75587f85b942/rjaa339f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc11/7524604/3a7e163c516c/rjaa339f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc11/7524604/75587f85b942/rjaa339f2.jpg

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本文引用的文献

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A rare case of massive gastrointestinal hemorrhage caused by Meckel's diverticulum in a 53-year-old man.一名53岁男性因梅克尔憩室导致大量胃肠道出血的罕见病例。
W V Med J. 2005 Mar-Apr;101(2):64-6.
2
Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950-2002).梅克尔憩室:梅奥诊所对1476例患者的治疗经验(1950 - 2002年)
Ann Surg. 2005 Mar;241(3):529-33. doi: 10.1097/01.sla.0000154270.14308.5f.
3
Rare mesenteric location of Meckel's diverticulum, a forgotten entity: a case study aboard USS Kitty Hawk.梅克尔憩室罕见的肠系膜位置:一个被遗忘的实体——“小鹰号”航母上的病例研究
Meckel's diverticulum: analysis of 27 cases in an adult population.
梅克尔憩室:成年人群27例分析
Front Surg. 2023 Dec 18;10:1327545. doi: 10.3389/fsurg.2023.1327545. eCollection 2023.
4
Meckel's Diverticulum Causing a Small Bowel Obstruction in an 80-Year-Old Male: Report of a Rare Case and Review of the Literature.梅克尔憩室致80岁男性小肠梗阻:1例罕见病例报告及文献复习
Cureus. 2023 Mar 10;15(3):e35990. doi: 10.7759/cureus.35990. eCollection 2023 Mar.
5
Meckel's diverticulum causing acute intestinal obstruction: A case report and comprehensive review of the literature.梅克尔憩室导致急性肠梗阻:一例报告及文献综述
Ann Med Surg (Lond). 2022 May 7;78:103734. doi: 10.1016/j.amsu.2022.103734. eCollection 2022 Jun.
Am Surg. 2004 Nov;70(11):985-8.
4
[Small bowel stromal tumors in a "meckelian" location. About a clinical observation].位于“梅克尔憩室样”部位的小肠间质瘤。一项临床观察报告
Ann Ital Chir. 2003 Nov-Dec;74(6):707-11.
5
Bleeding Meckel's diverticulum in an adult.成人梅克尔憩室出血
Hepatogastroenterology. 2001 Nov-Dec;48(42):1628-30.
6
Meckel's diverticulum causing intestinal obstruction.梅克尔憩室导致肠梗阻。
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[Carcinoid tumor in Meckel's diverticulum: case presentation and review of the literature].[梅克尔憩室中的类癌肿瘤:病例报告及文献综述]
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