误诊为梅克尔憩室伴内疝酷似阑尾炎：一例报告。
Misdiagnosed Meckel's diverticulum with internal hernia mimicking appendicitis: A case report.
作者信息
Zhang Qi, Xu Xiu-Juan, Ma Jun, Zhang Ya-Ming
机构信息
Department of General Surgery, Anqing Municipal Hospital, Anqing 246000, Anhui Province, China.
Department of Critical Medicine, Anqing Municipal Hospital, Anqing 246000, Anhui Province, China.
出版信息
World J Clin Cases. 2024 Jul 16;12(20):4391-4396. doi: 10.12998/wjcc.v12.i20.4391.
BACKGROUND
Meckel's diverticulum is a common congenital anomaly of the gastrointestinal tract, with a higher incidence rate in children under 7 years old. The condition is characteristically asymptomatic but may become a clinical concern when complications such as intestinal obstruction, bleeding, perforation, or diverticulitis precipitate acute abdominal presentations.
CASE SUMMARY
This report describes the case of a middle-aged man initially suspected of having acute appendicitis, which rapidly progressed to acute peritonitis with concomitant intestinal obstruction observed during preoperative assessment. Surgical exploration confirmed the diagnosis of Meckel's diverticulum-induced internal hernia, accompanied by intestinal obstruction and necrosis. In addition, the hernial ring base exhibited entrapment resembling a surgical knot.
CONCLUSION
Meckel's diverticulum is a rare cause of small bowel obstruction in adults, and it should be considered in a differential diagnosis.
背景
梅克尔憩室是一种常见的胃肠道先天性异常，在7岁以下儿童中发病率较高。该病症通常无症状，但当出现肠梗阻、出血、穿孔或憩室炎等并发症引发急性腹部症状时，可能会引起临床关注。
病例摘要
本报告描述了一名中年男性的病例，该患者最初被怀疑患有急性阑尾炎，在术前评估中迅速发展为急性腹膜炎，并伴有肠梗阻。手术探查证实诊断为梅克尔憩室引起的内疝，伴有肠梗阻和坏死。此外，疝环底部出现类似手术结的卡压。
结论
梅克尔憩室是成人小肠梗阻的罕见原因，在鉴别诊断时应予以考虑。
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