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首页> 外文期刊>Acta gastro-enterologica Belgica >MeckePs enterolith : a rare cause of mechanical small bowel subobstruction
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MeckePs enterolith : a rare cause of mechanical small bowel subobstruction

机译：Meckel的肠溶：一种罕见的机械小肠阻塞的原因

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摘要

Meckel's diverticulum is the most common congenital gastrointestinal malformation and may present with bleeding, obstruction and diverticulitis. Symptomatic Meckel's diverticulum is associated with age < 50 years, male gender, diverticular length > 2 cm and ectopic mucosa. Formation of enteroliths is a rare complication of Meckel's diverticulum and the majority of stones will remain in the diverticulum. Factors promoting enterolith formation through precipitation of calcium in the small intestinal alkaline environment include stasis as well as diverticular anatomy and histology. Mechanical obstruction due to liberation of enteroliths is even more rare and other mechanisms include intussusception, adhesions, volvulus and neoplasms. Visualization of enteroliths on plain abdominal films is challenging because not all stones are radiopaque. Surgical diverriculectomy or segmental bowel resection with anastomosis is preferred in case of complications. We present a case of mechanical small bowel sub-obstruction resulting from an expelled Meckel's enterolith. (Acta gastroenterol. belg., 2018, 81, 534-537).
机译：Meckel的憩室是最常见的先天性胃肠道畸形，并且可能存在出血，梗阻和憩室炎。症状麦克风的憩室与年龄<50岁，男性性别，憩室长度> 2厘米和异位粘膜有关。肠溶性的形成是Meckel的憩室的罕见并发症，大多数石头将留在憩室中。通过在小肠碱性环境中钙析出肠溶性形成的因素包括瘀滞和分憩解剖和组织学。由于肠溶性释放导致的机械障碍甚至更加罕见，其他机制包括肠套叠，粘连，Volvulus和肿瘤。普通腹部薄膜上的肠溶性的可视化是挑战性的，因为并非所有石头都是无线电话的。在并发症的情况下，优选具有吻合术的手术多术或节末肠切除。我们展示了由被驱逐的Meckel的肠溶内的机械小肠子梗阻的情况。 （Acta Gastroenterol。Belg。，2018,81,534-537）。

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