梅克尔憩室。无胃肠道出血的内疝和粘连——超声及闪烁扫描结果
Meckel's diverticulum. Internal hernia and adhesions without gastrointestinal bleeding--ultrasound and scintigraphic findings.
作者信息
Hawkins H B, Slavin J D, Levin R, Spencer R P
机构信息
Department of Radiology, Saint Francis Hospital and Medical Center, Hartford, Connecticut, USA.
出版信息
Clin Nucl Med. 1996 Dec;21(12):938-40. doi: 10.1097/00003072-199612000-00004.
The results from an ultrasound study performed on an 11-year-old boy, who had several weeks of intermittent abdominal pain, showed a nonperistaltic loop of bowel near the umbilicus, which suggested either an internal hernia or a diverticulum. Tc-99m pertechnetate imaging showed a focal collection near the umbilicus, which was consistent with a Meckel's diverticulum. No evidence was found of gastrointestinal bleeding. Exploratory laparotomy showed a Meckel's diverticulum near the terminal ileum and attached to the anterior abdominal wall close to the umbilicus. Small bowel had herniated through the loop formed by the terminal ileum and the diverticulum.
对一名11岁男孩进行了超声检查，该男孩数周来间歇性腹痛，检查结果显示脐周有一段无蠕动的肠袢，提示可能是内疝或憩室。锝-99m高锝酸盐显像显示脐周有一个局灶性聚集区，与梅克尔憩室相符。未发现胃肠道出血的证据。剖腹探查显示回肠末端附近有一个梅克尔憩室，附着于靠近脐部的前腹壁。小肠通过回肠末端和憩室形成的肠袢发生了疝出。
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