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梅克尔憩室：成人胃肠道出血的罕见且易被漏诊的病因。

Meckel's diverticulum: A rare and missed cause of adult gastrointestinal bleed.

作者信息

Ramakrishnan Rahul, Kuang Kevin, Rajput Vijay, Mohan Sachin

机构信息

Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine Fort Lauderdale Florida USA.

Department of Gastroenterology MedStar Health Oxon Hill Maryland USA.

出版信息

Clin Case Rep. 2024 May 24;12(6):e9000. doi: 10.1002/ccr3.9000. eCollection 2024 Jun.

DOI:10.1002/ccr3.9000
PMID:38799520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11126649/
Abstract

Our report details a rare case of gastrointestinal bleeding in an adult male from Meckel's diverticulum. Diagnostic tests were negative except for technetium-99m pertechnetate scintigraphy with SPECT/CT, highlighting importance of diverse modalities.

摘要

我们的报告详细描述了一例成年男性因梅克尔憩室导致胃肠道出血的罕见病例。除了采用单光子发射计算机断层扫描/计算机断层扫描（SPECT/CT）的锝-99m高锝酸盐闪烁扫描外，诊断测试均为阴性，这突出了多种检查方式的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349f/11126649/585651eb7435/CCR3-12-e9000-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349f/11126649/585651eb7435/CCR3-12-e9000-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/349f/11126649/585651eb7435/CCR3-12-e9000-g001.jpg

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本文引用的文献

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Meckel's diverticulum: Unusual cause of significant bleeding in an adult male.梅克尔憩室：成年男性大量出血的罕见原因。
Radiol Case Rep. 2023 Aug 3;18(10):3608-3611. doi: 10.1016/j.radcr.2023.07.041. eCollection 2023 Oct.
2
Case for Thought: Meckel's Diverticulum in the Adult Population.思考病例：成人中的梅克尔憩室
Cureus. 2022 Apr 26;14(4):e24494. doi: 10.7759/cureus.24494. eCollection 2022 Apr.
3
Bleeding Meckel's Diverticulum in a 33-Year-Old Female Diagnosed with Video Capsule Endoscopy and a Technetium-99 m Pertechnetate Scan with a Favorable Response to H Blocker and PPI.
一名33岁女性的梅克尔憩室出血，通过视频胶囊内镜检查和锝-99m高锝酸盐扫描诊断，并对H2受体阻滞剂和质子泵抑制剂反应良好。
Case Rep Gastrointest Med. 2021 Dec 9;2021:1381395. doi: 10.1155/2021/1381395. eCollection 2021.
4
Balloon-Assisted Enteroscopy for Retrieval of Small Intestinal Foreign Bodies: A KASID Multicenter Study.球囊辅助小肠镜取小肠异物：一项KASID多中心研究
Gastroenterol Res Pract. 2020 May 19;2020:3814267. doi: 10.1155/2020/3814267. eCollection 2020.
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Endoscopic characteristics of small intestinal malignant tumors observed by balloon-assisted enteroscopy.经气囊辅助小肠镜观察的小肠恶性肿瘤的内镜特征
World J Gastrointest Endosc. 2019 May 16;11(5):373-382. doi: 10.4253/wjge.v11.i5.373.
6
Systematic review of epidemiology, presentation, and management of Meckel's diverticulum in the 21st century.21世纪梅克尔憩室的流行病学、临床表现及治疗的系统评价
Medicine (Baltimore). 2018 Aug;97(35):e12154. doi: 10.1097/MD.0000000000012154.
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8
Diagnosis of Bleeding Meckel's Diverticulum in Adults.成人梅克尔憩室出血的诊断
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