由脐-肠系膜带引起盲肠扭转:罕见的梅克尔憩室并发症1例

Jitendra Parmar
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引用次数: 0

摘要

部分或完全发育失败关闭和吸收脐-肠系膜导管导致各种先天性异常,有或没有脐-肠系膜带的Meckel憩室(MD)是最常见的。由MD引起的盲肠扭转(CV)极为罕见,迄今仅有少数病例报道。病例总结:本病例报告一例40岁女性患者,以小肠梗阻为特征。患者急诊行腹部ct诊断为“梅克尔憩室”、“盲肠袢型”,伴盲肠、梅克尔憩室、升结肠缺血性改变。结论:MD常被忽视,且患者常出现并发症,必须掌握并发症的各种病理生理知识,及时有效地进行治疗。梅克尔憩室常被忽视,患者常出现并发症,必须掌握并发症的各种病理生理知识,以便及时有效地处理。
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Cecal Volvulus Caused by an Omphalo-Mesenteric Band: A Case Report of a Rare Complication of Meckel’s Diverticulum
Introduction: Partial or complete developmental failure to close and absorb the omphalo-mesenteric duct results in a variety of congenital anomalies, Meckel’s Diverticulum (MD) with or without omphalo-mesenteric band being the most common. The Cecal volvulus (CV) caused by MD is extremely rare and only few case reports have been reported so far. Case Summary: In this case report, a case of 40-years-old female patient with features of small bowel obstruction is reported. The patient subsequently diagnosed to have “Meckel’s Diverticulum” and “Loop Type of Cecal Volvulus” with ischemic changes involving cecum, Meckel’s diverticulum, and ascending colon on computed tomography of abdomen performed in emergency. Conclusion: MD is often overlooked, and the patient usually presents with complications, appropriate knowledge of various pathophysiology of complications must be kept in mind for a prompt and effective management. Meckel’s Diverticulum is often overlooked and the patient usually presents with complications, appropriate knowledge of various pathophysiology of complications must be kept in mind for a prompt and effective management.
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