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两个梅克尔憩室的故事:梅克尔憩室继发小肠梗阻。

A Tale of Two Meckel's: small bowel obstruction secondary to Meckel's Diverticulum.

作者信息

Ebrahimi Nargus, Quinn Rakesh, Liang Yi, Curran Richard

机构信息

General Surgery, Blacktown Hospital, Blacktown, NSW, Australia.

出版信息

J Surg Case Rep. 2021 Mar 15;2021(3):rjab037. doi: 10.1093/jscr/rjab037. eCollection 2021 Mar.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4616/7963453/25864c2fe624/rjab037f1.jpg

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本文引用的文献

3
Imaging of Meckel's diverticulum in adults: pictorial essay.成人梅克尔憩室的影像学表现:图文综述
Clin Imaging. 2014 Sep-Oct;38(5):557-64. doi: 10.1016/j.clinimag.2014.04.020. Epub 2014 May 15.
5
Bowel obstruction due to Meckel's diverticulum.梅克尔憩室所致肠梗阻
Med J Aust. 1958 Jan 11;45(2):37-40. doi: 10.5694/j.1326-5377.1958.tb85988.x.
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Unusual case of small bowel obstruction: persistence of vitelline artery remnant.
Clin Anat. 2003 Mar;16(2):173-5. doi: 10.1002/ca.10086.
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Laparoscopic management of Meckel's diverticulum in adults.成人梅克尔憩室的腹腔镜治疗
Surg Endosc. 2003 Apr;17(4):620-2. doi: 10.1007/s00464-002-8613-4. Epub 2003 Feb 17.
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Management of Meckel's diverticulum.梅克尔憩室的管理
Br J Surg. 1981 Jul;68(7):477-80. doi: 10.1002/bjs.1800680712.

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