Pintér A, Szemlédy F, Pilaszanovich I
Acta Paediatr Acad Sci Hung. 1978;19(2):113-23.
In twenty years, 66 infants and children with remnants of vitelline duct requiring surgery have been admitted. The patients were classified into three groups: patient vitelline duct (20 cases); Meckel's diverticulum as the primary surgical diseases (19 patients); and Meckel's diverticulum found incidentally at surgery (27 patients). The male preponderance in the groups of patent vitelline duct and symptomatic Meckel's diverticulum was 9:1. In contrast with other data, Meckel's diverticulum requiring surgery occurred with nearly equal frequency up to fourteen years. The gravest complication in the cases of patent vitelline duct were a T-shaped protrusion of ileum and a small bowel volvulus around the fibrous cord or the patent duct; and in the cases of Meckel's diverticulum causing symptoms, intestinal obstruction, bleeding peptic ulceration or inflammation. Three deaths occurred in newborn age in connection with patent vitelline duct, and one patient died who belonged to the group of asymptomatic Meckel's diverticulum.
二十年来，共收治66例需手术治疗的卵黄管残留婴幼儿及儿童患者。患者分为三组：卵黄管未闭患者（20例）；以梅克尔憩室为主要手术疾病的患者（19例）；手术中偶然发现梅克尔憩室的患者（27例）。卵黄管未闭组和有症状的梅克尔憩室组男性居多，男女比例为9:1。与其他数据不同的是，14岁之前，需手术治疗的梅克尔憩室发病率几乎相等。卵黄管未闭病例最严重的并发症是回肠呈T形突出以及围绕纤维索或未闭管道的小肠扭转；有症状的梅克尔憩室病例的并发症为肠梗阻、消化性溃疡出血或炎症。3例新生儿因卵黄管未闭死亡，1例无症状梅克尔憩室组患者死亡。
