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首页> 外文期刊>Journal of Surgical Case Reports >Large gallstone impaction at a Meckel's diverticulum causing perforation and localized peritonitis: report of a case
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Large gallstone impaction at a Meckel's diverticulum causing perforation and localized peritonitis: report of a case

机译：梅克尔憩室大胆结石撞击导致穿孔和局部性腹膜炎：一例报告

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摘要

We are reporting a successful laparoscopic resection of a perforated Meckel's Diverticulum (MD) causing localized peritonitis due to an impacted gallstone. MD is a small benign pouch on the wall of the small intestine that is present in ～2% of the population. It results from a failure of complete obliteration of the omphalomesenteric duct. MD is mainly lined by ileal mucosa; however, other ectopic tissue types can be found including gastric, duodenal, colonic, pancreatic, Brunner's glands, hepatobiliary tissue and endometrial mucosa. Most reported complications include bleeding, infection and obstruction. With relevance to this report, we can find no more than two reports of a large gallstone impacting the neck of the MD and causing ileus, and we were unable to find any reports that mention perforation due to impaction at the neck of an MD.
机译：我们报道了成功的腹腔镜手术切除了穿孔的Meckel憩室（MD），由于胆结石受累导致局部腹膜炎。 MD是小肠壁上的一个良性小袋，约占总人口的2％。它是由于完全闭塞了整个肠胃管的失败导致的。 MD主要由回肠粘膜衬砌;然而，可以发现其他异位组织类型，包括胃，十二指肠，结肠，胰腺，布鲁纳氏腺，肝胆组织和子宫内膜粘膜。大多数报道的并发症包括出血，感染和阻塞。与该报告相关的是，我们发现不多于两个关于大胆结石影响MD颈部并引起肠梗阻的报告，而且由于MD颈部受压，我们找不到任何提及穿孔的报告。

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