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一例罕见的梅克尔憩室内鸡叉骨导致部分穿孔和憩室炎的病例。

A rare case of chicken wishbone in Meckel's diverticulum causing partial perforation and diverticulitis.

作者信息

Mamukadze Irada, Park Sean, Flessland Olivia, Moberg Libby, Jentz Amy

机构信息

Department of General Surgery, University of Michigan Health-Sparrow, 1215 E. Michigan Avenue, Lansing, MI 48912, United States.

出版信息

J Surg Case Rep. 2024 Aug 25;2024(8):rjae519. doi: 10.1093/jscr/rjae519. eCollection 2024 Aug.

Abstract

Meckel's diverticulum (MD), a rare congenital abnormality, can lead to issues like diverticulitis and bleeding. Foreign bodies in MD are even rarer, causing vague symptoms and perforation, requiring urgent surgery. This case report highlights a patient with a foreign body in MD, focusing on clinical presentation and management. A 55-year-old male presented with abdominal pain, nausea, and vomiting. Computed tomography scan revealed a foreign body perforating the small bowel. Exploratory laparotomy found a partially perforated MD with a foreign body. Diverticulectomy was performed, and the patient recovered, discharged the next day. Foreign bodies in MD are exceedingly rare and can cause inflammation, infection, and perforation, mimicking appendicitis. Diagnosis is challenging due to nonspecific symptoms, with imaging and clinical evaluation crucial. Surgical intervention, like diverticulectomy, is primary. Early diagnosis and prompt surgery are critical in managing MD complicated by foreign bodies, ensuring favorable outcomes. This report underscores symptom recognition and effective management strategies.

摘要

梅克尔憩室(MD)是一种罕见的先天性异常,可导致憩室炎和出血等问题。梅克尔憩室内的异物更为罕见,会引起模糊症状和穿孔,需要紧急手术。本病例报告重点介绍了一名患有梅克尔憩室内异物的患者,着重阐述了临床表现和治疗方法。一名55岁男性出现腹痛、恶心和呕吐症状。计算机断层扫描显示有一个异物穿透小肠。剖腹探查发现一个部分穿孔的梅克尔憩室伴有异物。进行了憩室切除术,患者康复,于次日出院。梅克尔憩室内的异物极其罕见,可引起炎症、感染和穿孔,类似阑尾炎。由于症状不具特异性,诊断具有挑战性,影像学检查和临床评估至关重要。手术干预,如憩室切除术,是主要治疗方法。早期诊断和及时手术对于处理并发异物的梅克尔憩室至关重要,可确保良好预后。本报告强调了症状识别和有效的管理策略。

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