Ebrahimi Nargus, Quinn Rakesh, Liang Yi, Curran Richard
General Surgery, Blacktown Hospital, Blacktown, NSW, Australia.
J Surg Case Rep. 2021 Mar 15;2021(3):rjab037. doi: 10.1093/jscr/rjab037. eCollection 2021 Mar.
We present two rare cases of small bowel obstruction (SBO) secondary to Meckel's diverticulum (MD) where the mechanism of obstruction was not readily apparent. Both were cases of virgin abdomen with pre-operative CT scans demonstrating SBO without a clear underlying cause or mass. Diagnostic laparoscopy was performed, which established the underlying cause to be MD, and laparoscopic-assisted resection was undertaken to resect small bowel and perform a side-to-side stapled anastomosis. We subsequently describe the different mechanisms by which MD can cause obstruction as described in the literature.
我们报告两例罕见的因梅克尔憩室(MD)继发的小肠梗阻(SBO)病例,其梗阻机制并不明显。两例均为未接受过腹部手术的患者,术前CT扫描显示小肠梗阻,但未发现明确的潜在病因或肿块。进行了诊断性腹腔镜检查,确定潜在病因是梅克尔憩室,并实施了腹腔镜辅助切除术,切除小肠并进行侧侧吻合术。随后,我们描述了文献中所提及的梅克尔憩室导致梗阻的不同机制。