Marçal André, Marques Rita, Oliveira António, Pinto-de-Sousa João
Department of General Surgery, Centro Hospitalar de Trás-os-Montes e Alto Douro (CHTMAD), Vila Real 5000-508, Portugal.
J Surg Case Rep. 2021 Mar 29;2021(3):rjab059. doi: 10.1093/jscr/rjab059. eCollection 2021 Mar.
Meckel's diverticulitis is an unusual cause of acute abdomen condition in adults requiring prompt surgical treatment. We report a case of a 53-year-old male with coronavirus disease 19 (COVID-19), admitted to the emergency department with an acute abdominal pain. A computed tomography scan with intravenous contrast performed on the patient confirmed an inflamed short segment of the small bowel and the presence of a localized free peritoneal fluid. The definitive diagnosis was made intraoperatively, by means of an emergent ileal resection with primary anastomosis, which confirmed Meckel's diverticulitis. Postoperative evolution was ordinary. The association of COVID-19 with the acute abdomen is found to be weak, therefore surgical consultation is advised to minimize delayed treatment.
梅克尔憩室炎是成人急性腹痛的一种罕见病因,需要及时进行手术治疗。我们报告一例53岁男性冠状病毒病19(COVID-19)患者,因急性腹痛入住急诊科。对该患者进行的静脉造影计算机断层扫描证实小肠有一段发炎,并有局限性游离腹腔积液。术中通过急诊回肠切除并一期吻合确诊为梅克尔憩室炎。术后病情进展正常。发现COVID-19与急性腹痛的关联较弱,因此建议进行外科会诊以尽量减少治疗延误。