罕见的Meckel憩室在肠系膜边界变异并穿孔病例报告及文献复习

J. Al-Qahtani, Ali Sm, A. Qabbani, M. Yousif, M. Khattabi, Khan Mb, Z. Aftab
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引用次数: 3

摘要

背景:梅克尔憩室(Meckle’s Diverticulum, MD)是一种存在于正常人群2-4%的vitello肠管残余,通常位于回肠末端的反肠系膜边界。它的变体,肠系膜型更罕见,文献中只有少数病例报道。病例:我们描述了一例炎症性肠系膜MD,临床表现为急性阑尾炎,但经检查,诊断为炎症性肠系膜MD,切除手术后,患者康复,无任何并发症,出院情况良好。我们也回顾了自1941年以来所有文献报道的肠系膜MD病例。结论:MD是一种罕见的手术发现,但由于其体征和症状与急性阑尾炎非常相似,因此必须牢记其罕见变体的知识。
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Rare Variant of Meckel’s Diverticulum on the Mesenteric Border Complicated by Perforation: Case Report and Literature Review
Background: Meckle’s Diverticulum (MD) is a remnant of vitello intestinal duct found in approximately 2-4% of normal population and is usually located on the anti-mesenteric border of terminal ileum. Its variant, the mesenteric type is even rarer, with only a few cases reported in literature.Case: We describe a case of inflamed mesenteric MD that presented with clinical findings of acute appendicitis, but, upon exploration, was diagnosed as inflamed mesenteric MD, that was removed, and the patient recovered without any complications and went home in good condition. We also review all the mesenteric MD cases reported in the literature since 1941.Conclusion: MD is a rare operative finding, but knowledge of its rare variant must be kept in mind as the signs and symptoms closely resemble acute appendicitis.
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