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梅克尔憩室自发性穿孔:成人腹膜炎的罕见病因

Spontaneous Perforation of Meckel's Diverticulum: An Unusual Cause of Peritonitis in an Adult.

作者信息

Jain Hemant, Joshi Riecha, Sudan Aarushi, Banga Akshat

机构信息

Department of General Surgery Ananta Medical College, Udaipur, India.

Department of Pediatrics Government Medical College, Kota, India.

出版信息

J Brown Hosp Med. 2023 Oct 1;2(4):88127. doi: 10.56305/001c.88127. eCollection 2023.

Abstract

Meckel's diverticulum (MD) is a congenital gastrointestinal abnormality that rarely causes symptoms but may also cause perforation, obstruction, and gastrointestinal bleeding. It is more common in paediatric population and occurrence of complications like perforation in adults are seldom reported in the literature. We present the case of a 49-year-old male who exhibited sudden onset abdominal pain, distension, and bilious vomiting. Surgical exploration revealed the presence of a gangrenous and perforated Meckel's diverticulum. The importance of considering MD as a potential source of abdominal symptoms even in adults and the difficulties in diagnosing perforated MD are highlighted in this case.

摘要

梅克尔憩室(MD)是一种先天性胃肠道异常,很少引起症状,但也可能导致穿孔、梗阻和胃肠道出血。它在儿科人群中更为常见,而像成人穿孔这样的并发症在文献中很少报道。我们报告一例49岁男性病例,该患者突发腹痛、腹胀和胆汁性呕吐。手术探查发现一个坏疽性穿孔的梅克尔憩室。该病例强调了即使在成人中也应将梅克尔憩室视为腹部症状潜在来源的重要性以及诊断穿孔性梅克尔憩室的困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cb7/11864416/fd3bb0c56945/bhm_2023_2_4_88127_181569.jpg

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