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一例梅克尔憩室合并肠重复畸形:病例报告

A case of Meckel's diverticulum complicated with intestinal duplication: a case report.

作者信息

Cai Peng, Zhang Ruiyun, Zhang Tingting, Xiang Xianlan, Zhao Haowei, Jiang Yuliang, Wang Qi, Zhu Menglei, Zhou Xiaogang, Chen Jianlei, Zhu Jie, Huang Shungen, Zhu Zhenwei

机构信息

Department of Pediatric Surgery, Children's Hospital of Soochow University, Suzhou, China.

Children's Hospital of Wujiang District, Suzhou, China.

出版信息

J Med Case Rep. 2025 May 18;19(1):232. doi: 10.1186/s13256-025-05264-5.

Abstract

BACKGROUND

Meckel's diverticulum and intestinal duplication malformations are two isolated digestive tract malformations in children. It is uncommon to see cases of both digestive tract malformations occurring at the same time. This report presents a rare case of Meckel's diverticulum complicated with intestinal duplication, highlighting the importance of intraoperative exploration.

CASE PRESENTATION

A 5-year-old Han Chinese boy presented with abdominal pain and vomiting. The patient had tenderness in the right lower quadrant of the abdomen. Preoperative imaging suggested Meckel's diverticulum, but intraoperative exploration revealed both Meckel's diverticulum and intestinal duplication. Surgical resection and anastomosis were performed, and histopathology confirmed the diagnosis. The patient was discharged 7 days after surgery.

CONCLUSION

Meckel's diverticulum combined with intestinal duplication malformations is rare, and intraoperative exploration is essential in the diagnosis and treatment of surgical disease.

摘要

背景

梅克尔憩室和肠重复畸形是儿童中两种孤立的消化道畸形。消化道的这两种畸形同时发生的病例并不常见。本报告展示了一例罕见的梅克尔憩室合并肠重复畸形的病例,强调了术中探查的重要性。

病例介绍

一名5岁汉族男孩出现腹痛和呕吐症状。患者腹部右下腹有压痛。术前影像学检查提示梅克尔憩室,但术中探查发现同时存在梅克尔憩室和肠重复畸形。进行了手术切除和吻合,组织病理学检查确诊。患者术后7天出院。

结论

梅克尔憩室合并肠重复畸形很罕见,术中探查对于此类外科疾病的诊断和治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6eef/12087248/23bdb85c7244/13256_2025_5264_Fig1_HTML.jpg

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