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伪装成回肠上皮下肿瘤的反转美克尔憩室

Inverted Meckel's Diverticulum Masquerading as a Subepithelial Tumor of the Ileum.

作者信息

Noubani Mohammad, Bhan Rohit, Ghani Nimra, Materum Pons, Glazer Emily, Georgakis Georgios, Buscaglia Jonathan M

机构信息

Department of Surgery, Renaissance School of Medicine, Stony Brook, NY.

Department of Pathology, Renaissance School of Medicine, Stony Brook, NY.

出版信息

ACG Case Rep J. 2022 May 9;9(5):e00773. doi: 10.14309/crj.0000000000000773. eCollection 2022 May.

DOI:10.14309/crj.0000000000000773
PMID:35558640
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9088228/
Abstract

We describe a case of an inverted Meckel's diverticulum presenting as an intraluminal subepithelial lesion on intraoperative enteroscopy. A 53-year-old woman presented with chronic iron deficiency anemia unresponsive to escalating iron supplementation. After equivocal upper and lower endoscopy and negative cross-sectional imaging, capsule endoscopy suggested a submucosal mass lesion in the proximal ileum. Antegrade double-balloon enteroscopy was unsuccessful in reaching the lesion. A large pedunculated, submucosal-appearing lesion was finally identified on intraoperative enteroscopy. The mass was surgically resected, and final pathology confirmed an inverted Meckel's diverticulum.

摘要

我们描述了一例在术中肠镜检查时表现为腔内上皮下病变的倒位梅克尔憩室病例。一名53岁女性因不断增加铁剂补充治疗仍无反应的慢性缺铁性贫血前来就诊。在上下消化道内镜检查结果不明确且横断面成像为阴性后，胶囊内镜提示回肠近端有一个黏膜下肿块病变。顺行双气囊肠镜未能到达该病变部位。最终在术中肠镜检查时发现一个带蒂的、外观呈黏膜下的大病变。该肿物经手术切除，最终病理证实为倒位梅克尔憩室。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/523c/9088228/a75711f3435c/ac9-9-e00773-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/523c/9088228/ee57ea3fbd58/ac9-9-e00773-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/523c/9088228/98d15d0a1069/ac9-9-e00773-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/523c/9088228/a75711f3435c/ac9-9-e00773-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/523c/9088228/ee57ea3fbd58/ac9-9-e00773-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/523c/9088228/98d15d0a1069/ac9-9-e00773-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/523c/9088228/a75711f3435c/ac9-9-e00773-g003.jpg

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本文引用的文献

1
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Cureus. 2017 Oct 27;9(10):e1806. doi: 10.7759/cureus.1806.
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Inverted Meckel's diverticulum preoperatively diagnosed using double-balloon enteroscopy.使用双气囊小肠镜术前诊断的反转美克尔憩室。
World J Gastroenterol. 2016 May 7;22(17):4416-20. doi: 10.3748/wjg.v22.i17.4416.
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Inverted Meckel's diverticulum as a cause of occult lower gastrointestinal hemorrhage.Meckel 憩室倒置作为隐性下消化道出血的一个原因。
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