Šiaudinytė Monika, Vankevičienė Karolina, Povilaitienė Rasa, Domža Gintautas, Paliulytė Virginija, Ramašauskaitė Diana
Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.
Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania.
J Clin Med. 2023 Jul 9;12(14):4569. doi: 10.3390/jcm12144569.
Acute abdomen during pregnancy is rare. Despite advances in diagnostic imaging, preoperative diagnosis in the pregnant population due to anatomical and physiological changes can pose difficulties. Diagnosis and surgery delays increase the risk of adverse outcomes for both maternal and fetal health. In symptomatic cases, explorative surgery might be essential for correct diagnosis and patient treatment. Here, we present Meckel's diverticulum as an unusual cause of small bowel obstruction complicated with gangrene in a 34-week pregnant patient. The diagnosis was only apparent during explorative surgical laparotomy.
妊娠期急腹症较为罕见。尽管诊断性影像学取得了进展，但由于解剖和生理变化，对孕妇进行术前诊断仍可能存在困难。诊断和手术延迟会增加对母婴健康产生不良后果的风险。在有症状的病例中，探索性手术对于正确诊断和患者治疗可能至关重要。在此，我们报告一例34周妊娠患者，梅克尔憩室作为小肠梗阻合并坏疽的罕见病因。诊断仅在探索性外科剖腹手术时才明确。
