PDF(Pubmed)
Abstract：
Meckel\'s diverticula are one of the most common gastrointestinal anomalies, yet mesodiverticular bands are rare. The treatment of these bands commonly requires surgery. A healthy patient in his 20s presented to the emergency department with a 1 day history of acute onset abdominal pain. Computed tomography imaging was consistent with volvulus of the large intestine. In the operating room, the patient was noted to have a band between the ileal mesentery and tip of a Meckel\'s diverticulum, consistent with a mesodivertiular band, through which cecum had volvulized. The patient underwent resection. The patient recovered without major complications. Mesodiverticular bands are rare, but may present as hemoperitoneum, small bowel obstruction, or volvulus. Pre-operative diagnosis of a mesodiverticular band is often difficult and they are most commonly diagnosed intraoperatively. Treatment should include surgery and may include simple lysis of the band, bowel resection, or more extensive resection if other pathology is present.
摘要：
Meckel憩室是最常见的胃肠道异常之一,然而，中骨带是罕见的。这些带的治疗通常需要手术。一位20多岁的健康患者因急性腹痛发作1天的病史被送往急诊科。计算机断层扫描成像与大肠扭转一致。在手术室里,患者发现回肠肠系膜和Meckel憩室尖端之间有一条带，与中间带一致，盲肠通过它生长。患者接受了切除术。患者痊愈，无严重并发症。中外侧带很少见,但可能表现为腹膜积血，小肠梗阻,或者扭转.术前诊断中关节带通常很困难，并且最常见于术中诊断。治疗应包括手术，可能包括简单的松解术，肠切除术,或更广泛的切除，如果其他病理存在。
