Steinwald P M, Trachiotis G D, Tannebaum I R
Department of Surgery, The George Washington University Medical Center, Washington, District of Columbia, USA.
Am Surg. 1996 Nov;62(11):889-94.
Intussusception secondary to an inverted Meckel's diverticulum is considered to be a rare occurrence. The pathophysiology of the disease process results in a complicated clinical picture of chronic abdominal pain, lower gastrointestinal bleeding, and recurrent obstructive symptoms that may lead to an unnecessary delay in diagnosis. A case of an inverted Meckel's diverticulum as a lead point for an ileocolic intussusception in an adult is presented. The methods of diagnosis and the salient concepts in the surgical management of intussusception are discussed. Special features regarding the pathophysiology and treatment of an inverted Meckel's diverticulum acting as an intussusception are also reviewed.
继发于内翻梅克尔憩室的肠套叠被认为是一种罕见的情况。该疾病过程的病理生理学导致了慢性腹痛、下消化道出血和反复梗阻症状等复杂的临床表现，这可能会导致诊断的不必要延迟。本文介绍了一例成人回结肠型肠套叠以内翻梅克尔憩室为套入点的病例。讨论了肠套叠的诊断方法和手术治疗中的重要概念。还回顾了关于作为肠套叠病因的内翻梅克尔憩室的病理生理学和治疗的特殊特征。
