Akamine M, Araki Y, Chijiiwa Y, Shimizu S, Shimura H, Nawata H
Third Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Am J Gastroenterol. 1997 Nov;92(11):2114-6.
Meckel's diverticulum is a common anomaly of the GI tract that is known to cause small intestinal obstruction. A 17-yr-old male who had no history of previous surgery was admitted with intermittent abdominal pain. A barium enema showed extraintestinal compression of the ascending colon, suggesting the existence of a congenital band. Laparoscopy revealed that the ascending colon was lifted up and compressed by the intestinal end of a Meckel's diverticulum with a fibrous band connecting to the umbilicus. The portion of the ileum including the Meckel's diverticulum was resected. This is the first case of stenosis of the colon caused by a Meckel's diverticulum.
梅克尔憩室是胃肠道常见的先天性异常,已知可导致小肠梗阻。一名17岁无既往手术史的男性因间歇性腹痛入院。钡剂灌肠显示升结肠有肠外压迫,提示存在先天性束带。腹腔镜检查发现升结肠被梅克尔憩室的肠端抬起并压迫,有一条纤维带连接至脐部。切除包括梅克尔憩室的回肠部分。这是首例由梅克尔憩室导致的结肠狭窄病例。