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一名年轻成年人中术前诊断为酷似阑尾炎的梅克尔憩室炎:病例报告

Preoperative Diagnosis of Meckel's Diverticulitis Mimicking Appendicitis in a Young Adult: A Case Report.

作者信息

Hanekom Bernard L, Afolabi Rotimi

机构信息

General Surgery, Kalgoorlie Hospital, Kalgoorlie, AUS.

Medicine, University of Western Australia, Kalgoorlie, AUS.

出版信息

Cureus. 2025 Jul 18;17(7):e88275. doi: 10.7759/cureus.88275. eCollection 2025 Jul.

Abstract

Meckel's diverticulitis is a rare but important differential in patients presenting with right iliac fossa pain and is often initially mistaken for acute appendicitis. We report a case of a 22-year-old male patient who presented with symptoms consistent with appendicitis but was found on preoperative computed tomography (CT) to have Meckel's diverticulitis. He subsequently underwent surgical resection and made an uneventful recovery. This case highlights the diagnostic utility of CT in acute abdomen and the importance of considering Meckel's diverticulitis within the differential diagnosis of right iliac fossa pain in adult patients.

摘要

梅克尔憩室炎是一种罕见但在出现右下腹疼痛的患者中需鉴别的重要疾病,且通常最初会被误诊为急性阑尾炎。我们报告一例22岁男性患者,其表现出与阑尾炎相符的症状,但术前计算机断层扫描(CT)发现患有梅克尔憩室炎。他随后接受了手术切除,恢复顺利。该病例突出了CT在急腹症诊断中的作用,以及在成年患者右下腹疼痛的鉴别诊断中考虑梅克尔憩室炎的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7912/12276785/053da9ebedbf/cureus-0017-00000088275-i01.jpg

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