空气灌肠时出现伴有肠套叠的倒位美克尔憩室。

The appearance of inverted Meckel diverticulum with intussusception on air enema.

作者信息

Kim G, Daneman A, Alton D J, Myers M, Sandler A, Superina R

机构信息

Department of Diagnostic Imaging, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada.

出版信息

Pediatr Radiol. 1997 Aug;27(8):647-50. doi: 10.1007/s002470050204.

DOI:10.1007/s002470050204

PMID:9252428

Abstract

This paper presents the appearances of inverted Meckel diverticulum with an irreducible intussusception on air enema in four children. The inverted Meckel diverticulum appeared as a bulbous (3) or triangular (1) filling defect in the air column projecting off the distal end of the soft tissue mass of the irreducible intussusceptum. The bulbous defect appears to be highly suggestive, and may be specific, for inverted Meckel diverticulum. Earlier recognition of the presence of the Meckel diverticulum as the lead point of the intussusception could have changed the management in two of the children.

摘要

本文介绍了4例儿童倒位梅克尔憩室伴不可复位肠套叠在空气灌肠时的表现。倒位梅克尔憩室在不可复位肠套叠软组织肿块远端投射的气柱中表现为球根状（3例）或三角形（1例）充盈缺损。球根状缺损似乎高度提示倒位梅克尔憩室，可能具有特异性。早期识别梅克尔憩室作为肠套叠的引导点，本可改变其中2例患儿的治疗方式。