Roses D F, Gouge T H, Scher K S, Ranson J H
Am J Surg. 1976 Nov;132(5):649-52. doi: 10.1016/0002-9610(76)90364-0.
Over a ten year period, four patients with inflammation or perforation of non-Meckelian, small intestinal diverticula were treated on the surgical services of Bellevue Hospital. This entity remains uncommon but may be increasing in incidence. The patients presented with a short history of severe abdominal pain, usually accompanied by nausea and vomiting. Each patient also gave a longer preceding history of less well defined abdominal symptoms. The pathogenesis of the small intestinal diverticula is uncertain but may be related to disturbed muscular peristalsis in the small bowel analogous to the changes implicated in esophageal and colonic diverticular disease. The diverticulum may be difficult to demonstrate at operation, and careful exploration for this possibility should be carried out at the time of operation for peritonitis of obscure origin. Segmental resection and end-to-end anastomosis is the treatment of choice.
在十年期间，四名患有非梅克尔氏小肠憩室炎症或穿孔的患者在贝尔维尤医院的外科接受了治疗。这种情况仍然不常见，但发病率可能在上升。患者表现为严重腹痛病史较短，通常伴有恶心和呕吐。每位患者还都有较长时间的不太明确的腹部症状病史。小肠憩室的发病机制尚不确定，但可能与小肠肌肉蠕动紊乱有关，类似于食管和结肠憩室病中涉及的变化。憩室在手术时可能难以发现，对于不明原因腹膜炎的手术，应仔细探查这种可能性。节段性切除和端端吻合是首选的治疗方法。
