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伴有局限性穿孔的梅克尔憩室炎:病例报告及文献综述

Meckel's Diverticulitis With Localized Perforation: A Case Report and Literature Review.

作者信息

Hatlovic Morgan A, Anzelc Kasen, Tominna Reema, Chan-Gill Harsangeet K, Conrad-Schnetz Kristen

机构信息

Surgery, Lake Erie College of Osteopathic Medicine, Bradenton, USA.

Surgery, South Pointe Hospital Cleveland Clinic Foundation, Cleveland, USA.

出版信息

Cureus. 2025 Feb 8;17(2):e78737. doi: 10.7759/cureus.78737. eCollection 2025 Feb.

Abstract

Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal (GI) tract. It presents most frequently in patients under two years of age and more rarely in later adulthood. Complications of Meckel's diverticulum are even less common and can be difficult to distinguish from other more common abdominal pathologies due to nonspecific signs and symptoms. As a result, less common disease presentations, such as Meckel's diverticulitis with perforation, can be difficult to diagnose preoperatively, especially in the adult population. We discuss a case of a patient who presented with symptoms of acute appendicitis, which was later revealed to be Meckel's diverticulum complicated by Meckel's diverticulitis with localized perforation.

摘要

梅克尔憩室是胃肠道最常见的先天性异常。它最常出现在两岁以下的患者中,在成年后期则较为罕见。梅克尔憩室的并发症更为少见,由于其体征和症状不具特异性,很难与其他更常见的腹部疾病相区分。因此,像伴有穿孔的梅克尔憩室炎这种不太常见的疾病表现,术前很难诊断,尤其是在成年人群中。我们讨论一例表现为急性阑尾炎症状的患者,后来发现是梅克尔憩室并发梅克尔憩室炎并伴有局限性穿孔。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/012c/11893198/07b61c9ab14c/cureus-0017-00000078737-i01.jpg

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