Damayanti Wahyu, Saputra Robin Perdana, Ibrohim Ibnu Sina, Lestiono Andi, Melati Devy, Permatahati Winda Intan, Widowati Titis, Makhmudi Akhmad
Pediatric Surgery Division, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, Indonesia.
Department of Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, Indonesia.
Front Surg. 2021 May 25;8:674382. doi: 10.3389/fsurg.2021.674382. eCollection 2021.
Meckel diverticulum (MD) is the most common congenital anomaly of the intestines, with an incidence of 2% of the general population. It can present as various clinical features with complications and be life threatening if diagnosis is delayed and treatment late. We report three pediatric cases with complicated MD: one female presented with small-bowel obstruction, one male with peritonitis, and one female with severe iron-deficiency anemia, without gross gastrointestinal bleeding nor any ectopic gastric mucosa. All patients underwent exploratory laparotomy, segmental small-bowel resection, and primary anastomosis. They successfully recovered and were uneventfully discharged on the fourth, seventh, and 10th postoperative days, respectively. MD can present with various complication spectrums, including small-bowel obstruction, peritonitis, and severe iron-deficiency anemia, which may cause difficulty in definitive diagnosis, particularly in children. Segmental small-bowel resection and primary anastomosis are effective surgical approaches and show good outcomes for MD patients.
梅克尔憩室（MD）是最常见的肠道先天性异常，在普通人群中的发病率为2%。它可表现为各种临床特征并伴有并发症，如果诊断延迟和治疗不及时，可能会危及生命。我们报告三例复杂性MD的儿科病例：一名女性表现为小肠梗阻，一名男性表现为腹膜炎，一名女性表现为严重缺铁性贫血，均无明显胃肠道出血及任何异位胃黏膜。所有患者均接受了剖腹探查、小肠节段切除及一期吻合术。他们分别于术后第4天、第7天和第10天顺利康复并出院。MD可表现为各种并发症，包括小肠梗阻、腹膜炎和严重缺铁性贫血，这可能导致明确诊断困难，尤其是在儿童中。小肠节段切除及一期吻合术是有效的手术方法，对MD患者有良好疗效。
