Department of General, Abdominal, Vascular and Thoracic Surgery, Krankenhaus Düren, Düren, Germany.
Department of Vascular Surgery, Marienhospital Aachen, Aachen, Germany.
Acta Chir Belg. 2023 Dec;123(6):699-706. doi: 10.1080/00015458.2022.2136047. Epub 2022 Oct 19.
Meckel's diverticula result from incomplete obliteration and regression of the omphaloenteric duct and are the most common congenital intestinal malformations. Many Meckel's diverticula remain asymptomatic and are discovered as incidental findings. They present a diagnostic challenge.
We report the case of a 35-year-old man who presented with an acute abdomen and ileus. Computed tomography of the abdomen showed a mechanical small bowel ileus. There was a calibre jump in the terminal ileum with a round endoluminal definable hyperdense structure of almost 2 cm in diameter.
An exploratory laparoscopy was performed revealing an inflamed Meckel's diverticulum with impacted enterolith as the cause of the intestinal obstruction.
In symptomatic Meckel's diverticula, haemorrhage and obstruction are the most common complications. The development of ileus due to a Meckel's diverticulum with an enterolith is considered extremely rare but should be taken into account.
梅克尔憩室是由于卵黄肠管的不完全闭锁和退化而形成的，是最常见的先天性肠畸形。许多梅克尔憩室无症状，作为偶然发现。它们提出了诊断挑战。
我们报告了一例 35 岁男性，表现为急性腹痛和肠梗阻。腹部计算机断层扫描显示机械性小肠肠梗阻。末端回肠出现管腔直径跳跃，腔内有一个几乎 2 厘米直径的圆形边界清晰的高密度结构。
腹腔镜探查发现炎症性梅克尔憩室，腔内有嵌顿性粪石，导致肠梗阻。
在有症状的梅克尔憩室中，出血和梗阻是最常见的并发症。由于梅克尔憩室伴发粪石导致的肠梗阻极为罕见，但应考虑到这种情况。
