Abdi Abdishakur Mohamed, Ali Abdullahi Yusuf, Hirsi Ibrahim Mohamed, Yusuf Abdisalam Abdullahi, Ibrahim Ismail Gedi
Pediatric Surgery Department in Mogadishu Somali Turkish Training and Research Hospital, Mogadishu, Somalia.
Pediatric Surgery Department in Mogadishu Somali Turkish Training and Research Hospital, Mogadishu, Somalia.
Int J Surg Case Rep. 2024 Oct;123:110261. doi: 10.1016/j.ijscr.2024.110261. Epub 2024 Sep 10.
Meckel's diverticulum is The most common congenital anomaly of the gastrointestinal tract, Meckel's diverticulum, affects around 2 % of the general population. Meckel's diverticulum symptoms in the newborn stage are quite uncommon.
A male newborn, aged 6 days, was brought to our hospital due to recurrent episodes of vomiting during nursing and fever. There was bilious vomiting along with distention of the abdomen. Following a physical assessment and radiological analysis, the patient had an exploratory laparotomy with a bowel perforation impression. The abdominal cavity contained bowel content and a diagnosis of perforated MD was made. Following a thorough abdominal wash with warm normal saline, wedge resection and anastomosis were performed. Released three days following eight days of hospitalization and attaining full feeding. Six-month follow-up showed good recovery and ideal growth and development.
Meckel's diverticulum (MD), the most prevalent congenital gastrointestinal tract malformation, results from partial obliteration of the proximal portion of the omphalomesenteric duct during the seventh week of pregnancy. We report in this study an MD case with a range of complex spectra, such as severe distention and vomiting in the neonatal period. Meckel's diverticulum perforation is a deadly complication that typically results from gangrene, diverticulitis, or peptic ulceration brought on by an ectopic stomach mucosa.
The two most common clinical manifestations of symptomatic MD in newborns are partial bowel obstruction and pneumoperitoneum. Surgery is the only accurate method for both diagnostic and therapeutic purposes with a successful outcome.
梅克尔憩室是胃肠道最常见的先天性异常，约2%的普通人群受其影响。新生儿期梅克尔憩室的症状相当罕见。
一名6天大的男婴因喂奶时反复呕吐和发热被送至我院。呕吐物含胆汁，伴有腹胀。经过体格检查和影像学分析后，患者接受了剖腹探查术，术中疑似肠穿孔。腹腔内有肠内容物，诊断为梅克尔憩室穿孔。用温生理盐水彻底冲洗腹腔后，进行了楔形切除术和吻合术。住院8天后，术后3天出院，开始完全喂养。6个月的随访显示恢复良好，生长发育理想。
梅克尔憩室（MD）是最常见的先天性胃肠道畸形，由妊娠第7周时卵黄管近端部分闭塞所致。我们在本研究中报告了一例具有一系列复杂症状的MD病例，如新生儿期严重腹胀和呕吐。梅克尔憩室穿孔是一种致命并发症，通常由坏疽、憩室炎或异位胃黏膜引起的消化性溃疡所致。
新生儿期有症状的MD最常见的两种临床表现是部分肠梗阻和气腹。手术是唯一兼具诊断和治疗目的且能取得成功结果的准确方法。
