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妊娠晚期急腹症——一例罕见的梅克尔憩室炎穿孔病例

Acute abdomen in third trimester of pregnancy-a rare case of perforated Meckel's diverticulitis.

作者信息

Turco Jennifer, Khalil Ihab, Theophilus Mary

机构信息

Department of General Surgery, St John of God Public and Private Hospitals, Perth, WA 6000, Australia.

出版信息

J Surg Case Rep. 2023 Sep 8;2023(9):rjad492. doi: 10.1093/jscr/rjad492. eCollection 2023 Sep.

DOI:10.1093/jscr/rjad492
PMID:37701448
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10493077/
Abstract

Acute abdomen in pregnancy presents many diagnostic challenges. Non-specific symptoms, anatomical and physiological changes and diagnostic imaging limitations lead to diagnostic uncertainty and delayed diagnosis and treatment. Meckel's diverticulitis in pregnancy is extremely rare with only 27 cases reported in literature, only 11 of which are found to be perforated intraoperatively. We present a rare case of a patient in third trimester of pregnancy with perforated Meckel's diverticulitis.

摘要

妊娠期急腹症带来了诸多诊断挑战。非特异性症状、解剖和生理变化以及诊断成像的局限性导致诊断不确定以及诊断和治疗延迟。妊娠期梅克尔憩室炎极为罕见，文献中仅报道了27例，其中只有11例在术中被发现有穿孔。我们报告了一例妊娠晚期患者发生穿孔性梅克尔憩室炎的罕见病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e91/10493077/1afdd2c9532b/rjad492f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e91/10493077/0d7a69f60bcf/rjad492f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e91/10493077/1afdd2c9532b/rjad492f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e91/10493077/0d7a69f60bcf/rjad492f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e91/10493077/1afdd2c9532b/rjad492f2.jpg

相似文献

1
Acute abdomen in third trimester of pregnancy-a rare case of perforated Meckel's diverticulitis.妊娠晚期急腹症——一例罕见的梅克尔憩室炎穿孔病例
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本文引用的文献

1
Laparoscopy in Pregnancy: A Comparative Review of National Guidelines.妊娠期腹腔镜检查：各国指南的比较综述
Cureus. 2023 May 11;15(5):e38904. doi: 10.7759/cureus.38904. eCollection 2023 May.
2
Systematic review of Meckel's diverticulum in pregnancy.妊娠合并 Meckel 憩室的系统评价
ANZ J Surg. 2021 Sep;91(9):E561-E569. doi: 10.1111/ans.17014. Epub 2021 Jun 21.
3
SAGES guidelines for the use of laparoscopy during pregnancy.SAGES关于孕期腹腔镜检查使用的指南。
Surg Endosc. 2017 Oct;31(10):3767-3782. doi: 10.1007/s00464-017-5637-3. Epub 2017 Jun 22.
4
Evaluating the Acute Abdomen in the Pregnant Patient.评估妊娠患者的急腹症
Radiol Clin North Am. 2015 Nov;53(6):1309-25. doi: 10.1016/j.rcl.2015.06.013. Epub 2015 Aug 12.
5
Meckel's Diverticulitis as a Cause of an Acute Abdomen in the Second Trimester of Pregnancy: Laparoscopic Management.梅克尔憩室炎作为妊娠中期急腹症的病因：腹腔镜治疗
Case Rep Obstet Gynecol. 2015;2015:835609. doi: 10.1155/2015/835609. Epub 2015 Jan 11.
6
Meckel's diverticulum: a systematic review.梅克尔憩室：一项系统综述
J R Soc Med. 2006 Oct;99(10):501-5. doi: 10.1177/014107680609901011.