Skarpas Andreas, Siaperas Petros, Zoikas Athanasios, Griva Emmanouela, Kyriazis Ioannis, Velimezis Georgios, Karanikas Ioannis
2nd Department of Surgery G.H. Sismanoglion, Sismanogliou 37, 15126 Marousi, Greece.
J Surg Case Rep. 2020 Sep 30;2020(9):rjaa339. doi: 10.1093/jscr/rjaa339. eCollection 2020 Sep.
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.
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。