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梅克尔憩室:成年男性大量出血的罕见原因。

Meckel's diverticulum: Unusual cause of significant bleeding in an adult male.

作者信息

Saad Eddin Assim, Chowdhury A J, Saad Aldin Ehab

机构信息

University of Iowa Hospitals and Clinics, Iowa city, IA, USA.

Carver College of Medicine, Iowa city, IA, USA.

出版信息

Radiol Case Rep. 2023 Aug 3;18(10):3608-3611. doi: 10.1016/j.radcr.2023.07.041. eCollection 2023 Oct.

DOI:10.1016/j.radcr.2023.07.041
PMID:37577078
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10415815/
Abstract

Meckel's diverticulum is a common congenital gastrointestinal malformation affecting 2% of the general population. Most affected patients are asymptomatic, and excessive bleeding causing a significant drop in hemoglobin count is an uncommon complication of Meckel's diverticulum, especially in adult patients. Herein, we present an adult case of Meckel's diverticulum that nearly led to hemodynamic instability. Laparotomy and segmental small bowel resection were critical in treating the patient.

摘要

梅克尔憩室是一种常见的先天性胃肠道畸形,在普通人群中的发病率为2%。大多数受影响的患者没有症状,而导致血红蛋白计数显著下降的大量出血是梅克尔憩室罕见的并发症,尤其是在成年患者中。在此,我们报告一例成年梅克尔憩室病例,该病例几乎导致血流动力学不稳定。剖腹手术和小肠节段性切除对治疗该患者至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b46/10415815/ca1eae6628c8/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b46/10415815/78e8c62ec778/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b46/10415815/ffc30335daaf/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b46/10415815/367afed65042/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b46/10415815/61c38b439fea/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b46/10415815/bc81a0c854e3/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b46/10415815/ca1eae6628c8/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b46/10415815/78e8c62ec778/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b46/10415815/ffc30335daaf/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b46/10415815/367afed65042/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b46/10415815/61c38b439fea/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b46/10415815/bc81a0c854e3/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b46/10415815/ca1eae6628c8/gr6.jpg

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本文引用的文献

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Meckel's Diverticulum in Adults: Surgical Concerns.成人梅克尔憩室:手术相关问题
Front Surg. 2018 Sep 3;5:55. doi: 10.3389/fsurg.2018.00055. eCollection 2018.
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Diagnosis of Bleeding Meckel's Diverticulum in Adults.成人梅克尔憩室出血的诊断
PLoS One. 2016 Sep 14;11(9):e0162615. doi: 10.1371/journal.pone.0162615. eCollection 2016.
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CT Detection of Symptomatic and Asymptomatic Meckel Diverticulum.CT 检测有症状和无症状 Meckel 憩室。
梅克尔憩室伴主要异位胰腺组织引起的严重不明原因胃肠道出血。
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Meckel's diverticulum: A rare and missed cause of adult gastrointestinal bleed.梅克尔憩室:成人胃肠道出血的罕见且易被漏诊的病因。
Clin Case Rep. 2024 May 24;12(6):e9000. doi: 10.1002/ccr3.9000. eCollection 2024 Jun.
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Appendicitis combined with Meckel's diverticulum obstruction, perforation, and inflammation in children: Three case reports.小儿阑尾炎合并梅克尔憩室梗阻、穿孔及炎症:三例报告
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Clin Anat. 2011 May;24(4):416-22. doi: 10.1002/ca.21094. Epub 2011 Feb 14.
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Sonographic diagnosis of an inverted Meckel diverticulum: distinct criteria enable the correct diagnosis.
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Imaging manifestations of Meckel's diverticulum.梅克尔憩室的影像学表现。
AJR Am J Roentgenol. 2007 Jul;189(1):81-8. doi: 10.2214/AJR.06.1257.
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Bleeding Meckel diverticulum associated with a vitellointestinal artery aneurysm found on preoperative angiography: report of a case.术前血管造影发现与卵黄肠管动脉动脉瘤相关的梅克尔憩室出血:病例报告
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