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绞窄性脐疝合并梅克尔憩室穿孔:病例报告

A strangulated umbilical hernia with perforated Meckel diverticulum: Case report.

作者信息

Ali Abdullahi Yusuf, Sarac Ahmet, Abdi Abdishakur Mohamed, Mohamed Abdikafi Abdullahi

机构信息

Department of Pediatric Surgery, Mogadishu Somalia Turkey Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, Somalia.

Department of Pediatric Surgery, Mogadishu Somalia Turkey Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, Somalia; Department of Pediatric Surgery, Samsun Training and Research Hospital, Turkey.

出版信息

Int J Surg Case Rep. 2023 Sep;110:108681. doi: 10.1016/j.ijscr.2023.108681. Epub 2023 Aug 20.

Abstract

INTRODUCTION AND IMPORTANCE

Meckel's diverticulum (MD) is one of the most common gastrointestinal anomalies and affects 2-3 % of the population. Strangulated umbilical hernia with a perforated Meckel diverticulum is an extremely rare event.

CASE PRESENTATION

We reported here a case of one year old boy of a strangulated umbilical hernia with perforated MD that operated at the Mogadishu hospital. A wedge resection of the MD and anastomosis was performed.

CLINICAL DISCUSSION

MD is one of the most common gastrointestinal anomalies and affects 2-3 % of the population. About 60 % of cases come to medical attention before the age of ten, with the remainder of patients presenting in adolescence and adulthood. It is more difficult to diagnose in males, especially in adulthood.

CONCLUSION

Being aware of the likelihood that there could be a perforated Meckel's diverticulum in a sac of strangulated umbilical hernia has notable importance and may lead to innovative treatment and postoperative rehabilitation modalities.

摘要

引言与重要性

梅克尔憩室(MD)是最常见的胃肠道异常之一,影响2%至3%的人群。绞窄性脐疝合并穿孔性梅克尔憩室是一种极其罕见的情况。

病例介绍

我们在此报告一例在摩加迪沙医院接受手术的1岁男孩,患有绞窄性脐疝合并穿孔性MD。对梅克尔憩室进行了楔形切除并吻合。

临床讨论

梅克尔憩室是最常见的胃肠道异常之一,影响2%至3%的人群。约60%的病例在10岁前就医,其余患者在青春期和成年期出现。男性更难诊断,尤其是在成年期。

结论

意识到绞窄性脐疝囊内可能存在穿孔性梅克尔憩室具有重要意义,可能会带来创新的治疗和术后康复方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bcb/10509809/40ef19509193/gr1.jpg

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