Complicated Meckel's Diverticulum Initially Presenting with Small Bowel Obstruction

複雜性梅克爾憩室初始以小腸阻塞呈現

張竣翔(Chun-Hsiang Chang) ； 郭敏勇(Min-Yung Kuo)

《童綜合醫學雜誌》 11卷2期 (2017/12) Pp. 108-112

摘要

Meckel's diverticulum, which is the most common congenital abnormality of the gastrointestinal tract, results from an incomplete obliteration of the vitelline duct. Axial torsion of Meckel's diverticulum is the rarest reported complication, particularly in children. Owing to insignificant findings in laboratory tests or computed tomography scans, surgery for Meckel's diverticulum tends to be delayed. In our case, early exploratory laparotomy allowed an early diagnosis and treatment of the complicated Meckel's diverticulum.

關鍵字

Meckel's diverticulum ； Axial torsion ； Small bowel obstruction

並列摘要

梅克爾憩室，是由於卵黃管不完全的退化所形成的，而它也是最常見的腸胃道的先天性異常。梅克爾憩室的軸向旋轉是很罕見的併發症，尤其在兒童族群裡。由於梅克爾憩室，不論在實驗室檢驗或者是電腦斷層掃描，均不具有特異性的表現，所以在手術的介入時間點上，往往有所延誤。在我們的個案裡，剖腹探查可以對於梅克爾憩室做出早期的診斷及治療。

並列關鍵字

梅克爾憩室 ； 軸向旋轉