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穿孔性肠系膜梅克尔憩室:病例报告

Perforated mesenteric Meckel's diverticulum: Case report.

作者信息

AlShareef Basem, Khudari Orjuana

机构信息

Department Of General Surgery, College Of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia; Al-Noor Specialist Hospital, Department of General Surgery, Makkah, Saudi Arabia.

Al-Noor Specialist Hospital, Department of General Surgery, Makkah, Saudi Arabia.

出版信息

Int J Surg Case Rep. 2021 Feb;79:271-274. doi: 10.1016/j.ijscr.2021.01.027. Epub 2021 Jan 15.

Abstract

Meckel's diverticulum is a common congenital anomaly found in ∼2% of the population, its classic location aiding in its diagnostic criteria, is the anti-mesenteric side of the distal ileum. However, reported cases of Meckel's diverticula found on the mesenteric side, are present but rare. Here we report a case of a perforated mesenteric Meckel's diverticulum with synchronised anti-mesenteric Meckel's diverticulum, in a 70-year-old male, initially misdiagnosed as left strangulated inguinal hernia. The purpose behind this paper is to raise clinical suspicion regarding this rare pathology, so that timely diagnosis and management could be carried out.

摘要

梅克尔憩室是一种常见的先天性异常,在约2%的人群中可见,其典型位置有助于诊断标准的确定,位于回肠末端的系膜对侧。然而,系膜侧发现梅克尔憩室的报道病例虽有,但很罕见。本文报告一例70岁男性患者,患有穿孔性系膜侧梅克尔憩室并伴有同步性系膜对侧梅克尔憩室,最初被误诊为左侧绞窄性腹股沟疝。本文的目的是提高对这种罕见病理情况的临床怀疑,以便能够及时进行诊断和处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87b1/7829111/603afab15f64/pl1v2.jpg

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