Heinicke J M, Tedaldi R, Muller C
Chlrurgische Klinik, Schwerpunktspital Uster.
Swiss Surg. 1997;3(3):97-9.
Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal tract. Bleeding of the diverticulum from a peptic ulcer due to ectopic gastric mucosa makes up 25% of all complications in the disease. We report a case of a 20 year old male with chronic anemia, severe hematochezia and perforation due to Meckel's diverticulum. Segmental small bowel resection was performed. Difficulty of preoperative diagnosis is discussed, indication for incidental diverticulectomy is established and the literature reviewed.
梅克尔憩室是胃肠道最常见的先天性异常。憩室因异位胃黏膜导致消化性溃疡出血占该疾病所有并发症的25%。我们报告一例20岁男性患者，因梅克尔憩室出现慢性贫血、严重便血及穿孔。行节段性小肠切除术。讨论了术前诊断的困难，确立了偶然憩室切除术的指征并回顾了相关文献。
