PDF(Pubmed)
Abstract：
One of the most frequently encountered congenital anomalies of the gastrointestinal tract is the Meckel\'s diverticulum. Perforation of the diverticulum, a rare complication, can significantly hinder accurate diagnosis of the condition. Other common complications associated with Meckel\'s diverticulum include intestinal obstruction, intussusception, volvulus, inflammation, and hemorrhage. The presentation is similar to the presentation of appendicitis at times. Formation of a phlegmon around a perforated Meckel\'s diverticulum can mask clinical signs and symptoms. We present a case of a 59-year-old man who presented with pain in the right upper and lower quadrants. After imaging, the patient underwent exploratory laparotomy, which revealed a perforated Meckel\'s diverticulum. This case highlights the importance of considering Meckel\'s diverticulum as a possible diagnosis in patients presenting with acute abdominal pain. A thorough approach to history and physical exam combined with imaging can help in the early diagnosis of a perforated Meckel\'s diverticulum.
摘要：
最常见的先天性胃肠道异常之一是Meckel憩室。憩室穿孔,一种罕见的并发症,会严重阻碍病情的准确诊断。与Meckel憩室相关的其他常见并发症包括肠梗阻，肠套叠,扭转,炎症,和出血。该表现有时类似于阑尾炎的表现。在穿孔的Meckel憩室周围形成痰可掩盖临床体征和症状。我们介绍了一例59岁的男子，他在右上，下象限出现疼痛。成像后,病人接受了剖腹探查术,显示了一个穿孔的Meckel憩室.该病例强调了考虑Meckel憩室作为急性腹痛患者可能诊断的重要性。全面的病史和体格检查方法结合影像学检查可以帮助早期诊断穿孔的Meckel憩室。
