Northern Adelaide Local Health Network, Haydown Road, Elizabeth Vale, South Australia.
J Investig Med High Impact Case Rep. 2024 Jan-Dec;12:23247096241271986. doi: 10.1177/23247096241271986.
We report a case of a 26-year-old type 1 diabetic woman presenting with acute lower abdominal pain, bloating, and vomiting. Initial examination revealed right lower quadrant tenderness and a suprapubic mass. Computed tomography (CT) imaging identified a 12-cm cystic structure suggestive of a dilated bowel loop with an adjacent inflamed 7-cm small bowel segment. Surgical exploration uncovered a Merkel's diverticulum-associated duplication cyst originating from the Meckel's diverticulum. Subsequent complications included an anastomotic leak, requiring relook laparotomy and the formation of a double-barrel stoma. The patient recovered and was discharged on day 13. This case highlights the diagnostic challenge of Meckel's diverticulum-associated duplication cysts, emphasizing the need for vigilance in managing complex abdominal presentations.
我们报告了一例 26 岁的 1 型糖尿病女性，表现为急性下腹痛、腹胀和呕吐。初步检查发现右下腹压痛和耻骨上肿块。计算机断层扫描（CT）成像显示 12cm 大小的囊性结构，提示扩张肠袢，伴有相邻的 7cm 小段小肠炎症。手术探查发现梅克尔憩室相关的重复囊肿，起源于梅克尔憩室。随后的并发症包括吻合口漏，需要再次剖腹探查并形成双套管造口。患者康复并于第 13 天出院。本病例强调了梅克尔憩室相关重复囊肿的诊断挑战，需要警惕处理复杂的腹部表现。
