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梅克尔憩室轴扭转病例报告：一名儿童无机械性肠梗阻的急腹症

A Case Report of Axial Torsion of Meckel's Diverticulum: An Acute Abdomen Without Mechanical Bowel Obstruction in a Child.

作者信息

Chaaban Yara, Alhalabi Rawan, Ba'Ath Muhammad Eyad

机构信息

Pediatrics, American Hospital Dubai, Dubai, ARE.

Pediatric Surgery, University of Sharjah, Sharjah, ARE.

出版信息

Cureus. 2024 Sep 11;16(9):e69235. doi: 10.7759/cureus.69235. eCollection 2024 Sep.

DOI:10.7759/cureus.69235
PMID:39398822
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11470226/
Abstract

Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract. It is commonly silent but can cause multiple complications. The rarest presentation of Meckel's diverticulum is axial torsion around its base without involving the main gut lumen. This can lead to acute abdomen without bowel obstruction. Here we present a case of an eight-year-old boy who was found to have a huge Meckel diverticulum with axial torsion causing necrosis of the cyst without involving the bowel's main lumen. This paper discusses potential diagnostic and therapeutic pitfalls of the axial torsion of an MD.

摘要

梅克尔憩室是胃肠道最常见的先天性异常。它通常没有症状，但可引起多种并发症。梅克尔憩室最罕见的表现是围绕其基部的轴向扭转，而不涉及肠道主腔。这可导致无肠梗阻的急腹症。在此，我们报告一例8岁男孩，发现其有一个巨大的梅克尔憩室，伴有轴向扭转，导致囊肿坏死，而未累及肠道主腔。本文讨论了梅克尔憩室轴向扭转潜在的诊断和治疗陷阱。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd37/11470226/6b58090bd7de/cureus-0016-00000069235-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd37/11470226/e70287f8b731/cureus-0016-00000069235-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd37/11470226/fcfd2271da57/cureus-0016-00000069235-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd37/11470226/c8cd26b7e22e/cureus-0016-00000069235-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd37/11470226/6b58090bd7de/cureus-0016-00000069235-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd37/11470226/e70287f8b731/cureus-0016-00000069235-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd37/11470226/fcfd2271da57/cureus-0016-00000069235-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd37/11470226/c8cd26b7e22e/cureus-0016-00000069235-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd37/11470226/6b58090bd7de/cureus-0016-00000069235-i04.jpg

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本文引用的文献

1
Axial torsion and gangrene of a giant Meckel's diverticulum.巨大梅克尔憩室的轴向扭转与坏疽
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Recurrent torsion of a giant Meckel's diverticulum.巨大梅克尔憩室复发性扭转
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