3rd Surgery Department, AHEPA University Hospital, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54621 Thessaloniki, Greece.
UMF "Victor Babes", Surgery Clinic II, 300041 Timisoara, Romania.
Medicina (Kaunas). 2021 May 3;57(5):443. doi: 10.3390/medicina57050443.
Meckel's diverticulum is a common congenital abnormality of the gastrointestinal tract encountered in about 1-3% of the general population. Although most patients remain asymptomatic, a minority will experience serious complications such as acute abdomen, haemorrhage or obstructive ileus. Of all patients presenting with symptoms of obstruction due to Meckel's diverticulum 7-18% is due to volvulus. A 39-year-old male with multiple previous episodes of obstructive ileus presented with an acute abdomen. An exploratory laparotomy was performed in order to reveal the cause of the obstruction. An internal hernia with ileal volvulus and a Meckel's diverticulum was found, which was later confirmed by histopathological examination. Meckel's diverticulum is a rare cause of acute abdomen and obstructive ileus which should be considered when the symptoms date back to childhood. The difficulty of preoperative diagnosis dictates the need for exploratory laparoscopy or laparotomy as diagnostic tools.
梅克尔憩室是一种常见的胃肠道先天性异常，在普通人群中约占 1-3%。尽管大多数患者无症状，但少数患者会出现严重并发症，如急性腹痛、出血或肠梗阻。在所有因梅克尔憩室出现梗阻症状的患者中，7-18%是由于扭转。一名 39 岁男性曾多次发生肠梗阻，现出现急性腹痛。为了查明梗阻的原因，进行了剖腹探查术。发现存在内疝、回肠扭转和梅克尔憩室，组织病理学检查后得到证实。梅克尔憩室是急性腹痛和肠梗阻的罕见病因，当症状追溯至儿童时期时应考虑该病因。术前诊断困难，因此需要剖腹腹腔镜或剖腹探查术作为诊断工具。
