PDF(Pubmed)
Abstract：
BACKGROUND: Meckel\'s diverticulum is a common congenital anomaly of the gastrointestinal tract, with a higher incidence rate in children under 7 years old. The condition is characteristically asymptomatic but may become a clinical concern when complications such as intestinal obstruction, bleeding, perforation, or diverticulitis precipitate acute abdominal presentations.
METHODS: This report describes the case of a middle-aged man initially suspected of having acute appendicitis, which rapidly progressed to acute peritonitis with concomitant intestinal obstruction observed during preoperative assessment. Surgical exploration confirmed the diagnosis of Meckel\'s diverticulum-induced internal hernia, accompanied by intestinal obstruction and necrosis. In addition, the hernial ring base exhibited entrapment resembling a surgical knot.
CONCLUSIONS: Meckel\'s diverticulum is a rare cause of small bowel obstruction in adults, and it should be considered in a differential diagnosis.
METHODS: This report describes the case of a middle-aged man initially suspected of having acute appendicitis, which rapidly progressed to acute peritonitis with concomitant intestinal obstruction observed during preoperative assessment. Surgical exploration confirmed the diagnosis of Meckel\'s diverticulum-induced internal hernia, accompanied by intestinal obstruction and necrosis. In addition, the hernial ring base exhibited entrapment resembling a surgical knot.
CONCLUSIONS: Meckel\'s diverticulum is a rare cause of small bowel obstruction in adults, and it should be considered in a differential diagnosis.
摘要：
背景：Meckel憩室是一种常见的先天性胃肠道畸形，7岁以下儿童发病率较高。这种情况的特点是无症状，但可能成为临床关注的并发症，如肠梗阻，出血,穿孔,或憩室炎引起急性腹部表现。
方法：本报告描述了一名最初怀疑患有急性阑尾炎的中年男子的病例，术前评估中观察到急性腹膜炎并伴有肠梗阻。手术探查证实诊断为Meckel憩室诱发的内疝，伴有肠梗阻和坏死。此外,疝环基部表现出类似于手术结的截留。
结论：Meckel憩室是成人小肠梗阻的罕见原因，在鉴别诊断中应该考虑。
方法：本报告描述了一名最初怀疑患有急性阑尾炎的中年男子的病例，术前评估中观察到急性腹膜炎并伴有肠梗阻。手术探查证实诊断为Meckel憩室诱发的内疝，伴有肠梗阻和坏死。此外,疝环基部表现出类似于手术结的截留。
结论：Meckel憩室是成人小肠梗阻的罕见原因，在鉴别诊断中应该考虑。
