Department of General Surgery, Affiliated Xiaoshan Hospital, Hangzhou Normal University, Hangzhou, Zhejiang, China.
J Int Med Res. 2021 Oct;49(10):3000605211053554. doi: 10.1177/03000605211053554.
Small bowel volvulus secondary to Meckel's diverticulum is rare, and a delayed diagnosis results in disastrous outcomes. Computed tomography is conducive to early differential diagnosis. In particular, a blind-ending pouch structure on CT always indicates Meckel's diverticulum. Diverticulectomy with or without adjacent partial small intestinal resection is the standard treatment for symptomatic Meckel's diverticulum. However, the therapy for asymptomatic Meckel's diverticulum is controversial. Here, we report the case of a 20-year-old man who suffered intestinal obstruction secondary to small bowel volvulus caused by an axially torsional, gangrenous, and giant Meckel's diverticulum. Diverticulectomy with partial intestinal resection was performed.
因 Meckel 憩室引起的小肠扭转较为罕见，且延迟诊断的后果较为严重。计算机断层扫描（CT）有助于早期鉴别诊断。特别是 CT 上呈现盲端袋状结构，提示 Meckel 憩室的可能性大。对于有症状的 Meckel 憩室，憩室切除术联合或不联合邻近部分小肠切除术是标准治疗方法。然而，对于无症状的 Meckel 憩室，治疗方法存在争议。本文报告了一例 20 岁男性患者，因轴向扭转、坏疽性和巨大 Meckel 憩室导致小肠扭转引起肠梗阻。行憩室切除术联合部分肠切除术。
