自发性梅克尔憩室穿孔是急腹症的罕见病因:1例报告

João Kleber de Gentile
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引用次数: 0

摘要

梅克尔憩室(MD)是最常见的胃肠道先天性异常,最容易在回肠远端反肠侧发现。大多数患者无症状,但由于并发症可出现梗阻、穿孔、炎症和胃肠道出血等症状,这些症状具有广泛的临床和影像学表现。因此,考虑Meckel憩室作为急腹症患者的鉴别诊断是很重要的。复杂MD的治疗是手术,但对于偶然发现的病例,尚未有明确的建议。
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Spontaneous Perforation of Meckel’s Diverticulum Presenting as a Rare Cause of Acute Abdomen: A Case Report
Meckel’s diverticulum (MD) is the most common congenital abnormality of the gastrointestinal tract, most likely to be found at the antimesenteric side of the distal ileum. The majority of patients remain asymptomatic however symptoms such as obstruction, perforation, inflammation and gastrointestinal hemorrhage can occur due to complications, which have an extensive variety of clinical and imaging manifestations. Accordingly, it is important to consider Meckel’s diverticulum as a differential diagnosis in patients presenting with acute abdomen. The treatment of complicated MD is surgery but there is no clear recommendation yet for incidentally detected cases.
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