持续性脐肠系膜管（Vitello-Intestinal Duct）误诊为急性阑尾炎：一例报告。

Persistent Vitello-Intestinal Duct Masquerading as Acute Appendicitis: A Case Report.

机构信息

Department of Family Medicine and Emergency Medicine, Civil Service Hospital, New Baneshwor, Kathmandu, Nepal.

Department of Pediatric Surgery, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2023 Aug 1;61(264):671-674. doi: 10.31729/jnma.8239.

DOI:10.31729/jnma.8239

PMID:38289813

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10566615/

Abstract

UNLABELLED

The vitello-intestinal duct normally regresses with the development. But, in certain cases, it could persist and present as Meckel's diverticulum. Here we report a case of an eight-year-old boy presenting with peri-umbilical abdominal pain, vomiting and loose stool. He was initially diagnosed and managed as acute appendicitis but did not improve, rather developed features of intestinal obstruction. Exploratory laparotomy was done which revealed persistent vitello-intestinal duct and was managed surgically. This case report highlights that in any case of suspected acute appendicitis, the complications of persistent vitello-intestinal duct should be considered as one of the differentials.

KEYWORDS

appendicitis; case reports; intestinal obstruction; laparotomy; omphalomesenteric duct.

摘要

目的

脐肠系膜动脉通常随着发育而退化。然而，在某些情况下，它可能会持续存在并表现为 Meckel 憩室。本研究报告了一例 8 岁男孩脐周腹痛、呕吐和稀便的病例。他最初被诊断和治疗为急性阑尾炎，但并未好转，反而出现肠梗阻的特征。剖腹探查发现持续存在的脐肠系膜动脉，并进行了手术治疗。本病例报告强调，在任何疑似急性阑尾炎的情况下，应考虑持续性脐肠系膜动脉的并发症作为鉴别诊断之一。