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首页> 外文期刊>Surgical Endoscopy >Laparoscopic resection of perforated Meckel's diverticulum in a patient with clinical symptoms of acute appendicitis.
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Laparoscopic resection of perforated Meckel's diverticulum in a patient with clinical symptoms of acute appendicitis.

机译：患有急性阑尾炎临床症状的患者的腹腔镜切除穿孔的Meckel憩室。

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摘要

We report the laparoscopic resection of a perforated Meckel's diverticulum (MD) found in a 14-year-old boy who presented with abdominal pain and nausea. There was rebound tenderness in the right lower quadrant of the abdomen, which appeared suspicious for acute appendicitis. The patient was referred to the operating room, and laparoscopic appendectomy was performed. With the appendix showing no macroscopic signs of inflammation, laparoscopy was continued and a perforated MD was identified 50 cm proximal to the ileocecal valve. The findings included pus and localized peritonitis between the ileal loops adjacent to the perforation site. The diverticulum was longitudinally resected with an Endo-Gia stapler. The histopathologic workup confirmed the diagnosis of a perforated MD. The patient completely recovered and was discharged 8 days after the procedures. At this writing, he is completely asymptomatic 6 months later. We conclude from our observation that laparoscopic resection of a perforated MD can be performed safely even when localized peritonitis is present. Inspection of the small intestine should be performed to exclude a symptomatic or perforated MD when the appendix does not show any signs of acute appendicitis.
机译：我们报道了在一个腹痛和恶心的14岁男孩中发现的穿孔的Meckel憩室（MD）的腹腔镜切除术。腹部右下腹出现反弹性压痛，似乎对急性阑尾炎有所怀疑。将患者转诊至手术室，并进行腹腔镜阑尾切除术。阑尾未见炎症的宏观征象，继续进行腹腔镜检查，并在回盲瓣近50 cm处发现了穿孔的MD。这些发现包括脓液和邻近穿孔部位的回肠loop之间的局部性腹膜炎。用Endo-Gia吻合器纵向切除憩室。组织病理学检查证实了穿孔的MD的诊断。病人完全康复，术后8天出院。在撰写本文时，他在六个月后完全没有症状。从我们的观察结果可以得出结论，即使存在局部性腹膜炎，也可以安全地进行穿孔MD的腹腔镜切除。当阑尾未显示任何急性阑尾炎迹象时，应进行小肠检查以排除症状性或穿孔性MD。

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