Andreyev H J, Owen R A, Thomas P A, Wright P L, Forbes A
Department of Medicine, Whipps Cross Hospital, London, United Kingdom.
Am J Gastroenterol. 1994 Sep;89(9):1552-4.
The commonest causes of ulceration in the terminal ileum are Crohn's disease, infection, and neoplasia. Meckel's diverticulum is said to be found more commonly in patients with Crohn's disease than in the general population. We describe a patient who developed extensive terminal ileal ulceration caused by acid secretion from gastric mucosa within a Meckel's diverticulum, a condition that has not been recognized before. Our patient demonstrated a number of clinical features that would be consistent with Crohn's disease, and we wonder whether the rare condition of "Meckel's ileitis" is occasionally misdiagnosed as Crohn's disease in other patients.
回肠末端溃疡最常见的病因是克罗恩病、感染和肿瘤。据说梅克尔憩室在克罗恩病患者中比在普通人群中更常见。我们描述了一名患者，其回肠末端出现广泛溃疡，是由梅克尔憩室内胃黏膜分泌的胃酸所致，这是一种此前未被认识的病症。我们的患者表现出一些与克罗恩病相符的临床特征，我们不禁要问，在其他患者中，罕见的“梅克尔回肠炎”是否偶尔会被误诊为克罗恩病。
