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Meckel 憩室在大型手术中偶发发现。该如何处理?病例报告及文献复习。

Meckel's diverticulum as an occasional finding during major surgery. What to do? Case report and literature review.

出版信息

Ann Ital Chir. 2021 Sep 13;92:S2239253X21036616.

Abstract

Meckel's Diverticulum is the most frequent congenital anomaly of the digestive system in the population, with a prevalence of 2% on results of a postmortem. Clinically, it can remain silent through all life, or it gets complicated in an acute abdomen sight. In emergency, we can find Meckel's Diverticulum much more in childhood than in adult subjects, with a ratio of 2:1, and, therefore, it joins differential diagnosis with other pathologies being able to cause acute abdomen sight. In adult subjects that doesn't happen: usually, we can achieve the diagnosis sureness only during an exploratory laparotomy. The Authors report the clinic case of a Meckel's Diverticulum found in a 78 years old patient during an exploratory laparotomy like accidental discovery. KEY WORDS: Complications, Laparoscopy, Meckel's disease, Diverticulum.

摘要

梅克尔憩室是人群中最常见的消化系统先天性异常,尸检结果的患病率为 2%。临床上,它可以在整个生命过程中保持沉默,或者在急性腹痛时变得复杂。在紧急情况下,我们可以在儿童中比在成年患者中更频繁地发现梅克尔憩室,比例为 2:1,因此,它与其他可能导致急性腹痛的病理情况一起加入了鉴别诊断。在成年患者中不会发生这种情况:通常,我们只能在剖腹探查术中才能明确诊断。作者报告了一例 78 岁患者在剖腹探查中偶然发现梅克尔憩室的临床病例。关键词:并发症、腹腔镜、梅克尔病、憩室。

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