Wolfenbarger Brandol, Cottingham Kevin M
General Surgery, Alabama College of Osteopathic Medicine, Dothan, USA.
General Surgery, Cullman Regional Medical Center, Cullman, USA.
Cureus. 2023 Sep 7;15(9):e44843. doi: 10.7759/cureus.44843. eCollection 2023 Sep.
A Meckel's diverticulum is one of the most common congenital causes of small bowel obstruction. The lack of a more common gastric-containing tissue and older age of symptom onset can lead to difficulties with preoperative diagnosis. This case demonstrates an adult with chronic abdominal pain with recurrent small bowel obstruction that was found to be a rare ectopic endometrial tissue containing a Meckel's diverticulum following a diagnostic laparotomy. The barriers to diagnostics and factors affecting the age of onset are discussed with a focus on demonstrating the importance of surgical intervention for small bowel obstruction due to a Meckel's diverticulum and on the significance of a rare histological finding.
梅克尔憩室是小肠梗阻最常见的先天性病因之一。缺乏更常见的含胃组织以及症状出现时年龄较大可能导致术前诊断困难。本病例展示了一名患有慢性腹痛并反复出现小肠梗阻的成年人,在诊断性剖腹手术后发现是一个罕见的含有梅克尔憩室的异位子宫内膜组织。文中讨论了诊断的障碍以及影响发病年龄的因素,重点是证明因梅克尔憩室导致小肠梗阻时手术干预的重要性以及罕见组织学发现的意义。