Vasudha Nikam, Pramod Nagure, Jeetendra Patil
Department of Anatomy, D. Y. Patil Medical College, Dr. D.Y.Patil Education Society; Deemed to be University Kasaba Bawada; Kolhapur, Maharashtra, India.
Department of Radio diagnosis; D.Y.Patil Medical College, Eureka Diagnostic Centre; Kolhapur, Maharashtra, India.
Radiol Case Rep. 2020 Dec 11;16(2):400-403. doi: 10.1016/j.radcr.2020.12.008. eCollection 2021 Feb.
Meckel's diverticulum is the most common congenital anomaly of gastrointestinal tract, which results from incomplete involution of the proximal part of the vitelline duct during weeks 5-7 of fetal development. Giant Meckel's diverticulum more than 5 cm in length is relatively rare and may be associated with small bowel obstruction. Here we report Giant Meckel's diverticulum in 11 year old male who presented with the symptoms of acute abdomen with intermittent subacute small bowel obstruction. Patient presented with muscle guarding and tenderness. CT abdomen revealed a large outpouching round lesion in distal ileum intermittently compressing the small bowel that was suggestive of Giant Meckel's diverticulum. The morphology, pathology and complications of Giant Meckel's diverticulum is important for radiologist and surgeons for successful management of patient.
梅克尔憩室是最常见的胃肠道先天性异常，它是由于在胎儿发育的第5至7周期间卵黄管近端未完全退化所致。长度超过5厘米的巨大梅克尔憩室相对少见，可能与小肠梗阻有关。在此，我们报告一名11岁男性的巨大梅克尔憩室，该患者表现为急性腹痛伴间歇性亚急性小肠梗阻症状。患者有肌紧张和压痛。腹部CT显示回肠末端有一个大的圆形憩室样病变，间歇性压迫小肠，提示为巨大梅克尔憩室。巨大梅克尔憩室的形态、病理及并发症对于放射科医生和外科医生成功治疗患者很重要。
