He Yantao, Wang Lilan, Cao Wulan
Department of Obstetrics, Zhongshan City People's Hospital, Zhongshan, China.
Front Surg. 2023 Feb 16;10:1051158. doi: 10.3389/fsurg.2023.1051158. eCollection 2023.
Symptomatic Meckel's diverticulum (MD) is easily neglected in the acute abdomen during pregnancy. MD is the most common congenitally anomalous development of the intestines, with an incidence of 2% in the general population, although it is not easily diagnosed because of variable clinical features. Especially when complicated with pregnancy, doctors can easily overlook this disease, which directly threatens maternal and foetal life.
We report the case of a 25-year-old at 32 + 2 weeks of gestation complicated with MD volvulus who presented with progressive abdominal pain and finally peritonitis. She underwent exploratory laparotomy and small-bowel resection. The mother and the baby successfully recovered.
MD-complicated pregnancy is not easily diagnosed. Once highly suspiciously diagnosed, especially with peritonitis, surgery should be arranged, which helps preserve maternal and foetal life.
症状性梅克尔憩室（MD）在妊娠期急腹症中容易被忽视。MD是最常见的先天性肠道发育异常，在普通人群中的发病率为2%，但由于其临床表现多样，不易诊断。尤其是合并妊娠时，医生很容易忽略这种疾病，这直接威胁母婴生命。
我们报告一例妊娠32 + 2周的25岁孕妇，合并MD扭转，表现为进行性腹痛，最终发展为腹膜炎。她接受了剖腹探查和小肠切除术。母婴均成功康复。
MD合并妊娠不易诊断。一旦高度怀疑诊断，尤其是伴有腹膜炎时，应安排手术，这有助于挽救母婴生命。
