PDF(Pubmed)
Abstract：
BACKGROUND: Meckel\'s diverticulum (MD) is the most common congenital abnormality of the gastrointestinal tract. However, MD is rare in clinical practice, and perforation of a MD by a foreign body is even rarer. Preoperative diagnosis is difficult because there is often insufficient information; therefore it is usually diagnosed intraoperatively. Although rare, it should be considered as a differential diagnosis in patients who have ingested foreign bodies.
METHODS: The following is the case of a 52-year-old female patient who was admitted because of generalized abdominal pain for 5 days, related to nausea and vomiting. She also stopped passing gas. Inflammatory indicators were elevated, and computed tomography (CT) revealed gas-liquid levels in the small intestine and high-density objects in the ileum. Based on the patient\'s condition, laparotomy was performed instead because the laparoscopic procedure was difficult to perform. Intraoperatively, a foreign body perforated the diverticulum of the terminal ileum, resulting in the development of an abdominal abscess. Finally, we performed resection of the ileal diverticula and partial resection of the ileum. After the surgery, it was confirmed that the foreign bodies were two dentures accidentally eaten by the patient.
CONCLUSIONS: A thorough understanding of the clinical presentation, imaging features, and treatment of MD and its complications will assist clinicians in making prompt and accurate diagnoses and providing symptomatic treatment.
METHODS: The following is the case of a 52-year-old female patient who was admitted because of generalized abdominal pain for 5 days, related to nausea and vomiting. She also stopped passing gas. Inflammatory indicators were elevated, and computed tomography (CT) revealed gas-liquid levels in the small intestine and high-density objects in the ileum. Based on the patient\'s condition, laparotomy was performed instead because the laparoscopic procedure was difficult to perform. Intraoperatively, a foreign body perforated the diverticulum of the terminal ileum, resulting in the development of an abdominal abscess. Finally, we performed resection of the ileal diverticula and partial resection of the ileum. After the surgery, it was confirmed that the foreign bodies were two dentures accidentally eaten by the patient.
CONCLUSIONS: A thorough understanding of the clinical presentation, imaging features, and treatment of MD and its complications will assist clinicians in making prompt and accurate diagnoses and providing symptomatic treatment.
摘要：
背景：Meckel憩室（MD）是胃肠道最常见的先天性异常。然而,MD在临床实践中很少见，异物对MD的穿孔甚至更罕见。术前诊断很困难，因为通常信息不足；因此通常在术中诊断。虽然罕见，应将其视为摄入异物的患者的鉴别诊断。
方法：以下是一名52岁女性患者，因全身腹痛而入院5天，与恶心和呕吐有关。她也停止了加油。炎症指标升高，计算机断层扫描（CT）显示小肠中的气液水平和回肠中的高密度物体。根据病人的情况,由于腹腔镜手术难以进行，因此进行了剖腹手术。术中,回肠末端憩室有异物穿孔,导致腹部脓肿的发展。最后,我们进行了回肠憩室切除和回肠部分切除。手术后,证实异物是病人不小心吃掉的两个假牙。
结论：对临床表现有透彻的了解，成像特征,和治疗MD及其并发症将有助于临床医生做出及时准确的诊断并提供对症治疗。
方法：以下是一名52岁女性患者，因全身腹痛而入院5天，与恶心和呕吐有关。她也停止了加油。炎症指标升高，计算机断层扫描（CT）显示小肠中的气液水平和回肠中的高密度物体。根据病人的情况,由于腹腔镜手术难以进行，因此进行了剖腹手术。术中,回肠末端憩室有异物穿孔,导致腹部脓肿的发展。最后,我们进行了回肠憩室切除和回肠部分切除。手术后,证实异物是病人不小心吃掉的两个假牙。
结论：对临床表现有透彻的了解，成像特征,和治疗MD及其并发症将有助于临床医生做出及时准确的诊断并提供对症治疗。
