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一例鱼骨穿孔梅克尔憩室酷似阑尾炎的病例报告

A Case Report on Fish Bone Perforating Meckel's Diverticulum Mimicking Appendicitis.

作者信息

Kolleri Jouhar J, Abdirahman Abdirahman M, Khaliq Ali, Abu-Dayeh Ala, Sajid Sadia, Mirza Salman, Haider Abdulrazzaq

机构信息

Clinical Imaging Department, Hamad Medical Corporation, Doha, QAT.

Anesthesia, Hamad Medical Corporation, Doha, QAT.

出版信息

Cureus. 2022 Feb 28;14(2):e22693. doi: 10.7759/cureus.22693. eCollection 2022 Feb.

Abstract

Meckel's diverticulum (MD) is the most frequent congenital abnormality of the digestive tract. Although it is silent, it can rarely come up as a complicated case including but not limited to obstruction, inflammation, and neoplasm. Perforation as a consequence of MD is extremely infrequent and mostly related to foreign objects. We report a case of a 24-year-old man who presented to the emergency department with signs and symptoms suggestive of acute appendicitis. Computed tomography (CT) of the abdomen demonstrated foreign body perforation from a protrusion outside the small bowel. The patient underwent laparoscopy and a fish bone perforating MD was found which was removed.

摘要

梅克尔憩室(MD)是最常见的消化道先天性异常。尽管它通常无症状,但偶尔也会出现复杂病例,包括但不限于梗阻、炎症和肿瘤。MD导致的穿孔极为罕见,且大多与异物有关。我们报告一例24岁男性患者,因出现提示急性阑尾炎的症状和体征就诊于急诊科。腹部计算机断层扫描(CT)显示小肠外突出物导致的异物穿孔。患者接受了腹腔镜检查,发现一根鱼骨穿透梅克尔憩室,并将其取出。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9a6/8966845/c3decaa6908a/cureus-0014-00000022693-i01.jpg

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