梅克尔憩室并发急性肠梗阻：一例报告
Meckel's diverticulum complicated by acute intestinal obstruction: a case report.
作者信息
Niasse Abdou, Ndiaye Abdoulaye, Dieng Papa Souleymane, Dieng Mactar, Ndong Abdourahmane, Cissé Mamadou, Dieng Madieng, Konaté Ibrahima
机构信息
Department of Surgery, Alioune Diop University of Bambey.
Department of Anaesthesiology, Cheikh Anta Diop University of Dakar, Cheikh Ahmadoul Khadim Hospital of Touba, Touba.
出版信息
Ann Med Surg (Lond). 2024 Jun 10;86(8):4807-4810. doi: 10.1097/MS9.0000000000002263. eCollection 2024 Aug.
INTRODUCTION AND IMPORTANCE
Meckel's diverticulum is a rare congenital intestinal anomaly that can sometimes cause serious complications. The authors' aim is to review the literature on this condition by reporting the clinical case of a young adult with Meckel's diverticulum complicated by acute intestinal obstruction.
CASE PRESENTATION
This was a 24-year-old young man, operated on for open bladder stones received for occlusive syndrome. Abdominal computed tomography (CT) suggested a flange occlusion. Surgical exploration found a Meckel's diverticulum creating a flange around the last one. An intestinal resection was performed with direct anastomosis with simple consequences.
CLINICAL DISCUSSION
Meckel's diverticulum is a rare congenital intestinal anomaly. It is discovered incidentally or in the face of serious complications such as intestinal obstruction. Intestinal resection with one-stage anastomosis emerges as a standard and safe management approach.
CONCLUSION
A Meckel's diverticulum can be complicated by acute intestinal obstruction mimicking a postoperative flange that can err the diagnosis.
引言与重要性
梅克尔憩室是一种罕见的先天性肠道异常，有时会引发严重并发症。作者旨在通过报告一名患有梅克尔憩室并并发急性肠梗阻的年轻成年人的临床病例，回顾关于这种病症的文献。
病例介绍
这是一名24岁的年轻男性，因梗阻综合征接受开放性膀胱结石手术。腹部计算机断层扫描（CT）提示法兰样梗阻。手术探查发现一个梅克尔憩室在最后一个肠段周围形成了一个法兰样结构。进行了肠切除并直接吻合，术后恢复顺利。
临床讨论
梅克尔憩室是一种罕见的先天性肠道异常。它通常是在偶然情况下被发现，或者是在出现诸如肠梗阻等严重并发症时才被发现。一期吻合的肠切除术是一种标准且安全的治疗方法。
结论
梅克尔憩室可能并发急性肠梗阻，表现类似术后的法兰样结构，这可能会导致误诊。
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