Laparoscopy-assisted Resection of Ileoileal Intussusception Caused by Meckel's Diverticulum: Report of a Case

腹腔鏡輔助切除Meckel氏憩室造成之迴腸套疊：病例報告

吳建明(Jiann-Ming Wu) ； 林恆甫(Heng-Fu Lin) ； 曾立銘(Li-Ming Tseng) ； 陳國鋅(Kuo-Hsin Chen) ； 黃實宏(Shih-Horng Huang)

《Formosan Journal of Surgery》 40卷2期 (2007/04) Pp. 89-92

https://doi.org/10.29833/FJS.200704.0006

摘要

小腸阻塞是很常見的問題，特別是腹部手術後所造成的沾黏性腸阻塞。相對於沾黏造成的腸阻塞，腸套疊在成人是一少見(1-3%)的腸阻塞原因。和小孩子不同，成人的腸套疊大多是因病灶所引起；而這些病灶約有一半是惡性的。Meckel氏憩室是引起成人腸套疊較少見的的原因之一(2%)。我們報告一個因Meckel氏憩室引起小腸套疊並造成腸阻塞的病例。手術前的電腦斷層掃瞄顯示小腸套疊的標靶徵象，經由腹腔鏡檢查證實及定位後，把肚臍旁的傷口切開至五公分後將腸套疊的腸段整個拉至體外做切除及吻合。病人術後恢復良好並於術後第七天出院。對於這樣的病人，腹腔鏡輔助的手術提供另一種可行的、有別於傳統剖腹手術的選擇。

並列摘要

Small bowel obstruction is a common problem, especially for patients with previous abdominal surgery because of possible postoperative adhesions. In contrast to adhesions, intussusception is an unusual cause of small bowel obstruction in adults. We report the case of a young adult with intestinal intussusception due to an inverted Meckel's diverticulum. Preoperative computed tomography showed the target sign of intestinal intussusception. Laparoscopic examination confirmed the diagnosis, and segmental resection of the intussusception and anastomosis were performed via an extended mini-laparotomy incision. The patient had an uneventful postoperative course and was discharged seven days after surgery. A laparoscopic approach offers a feasible option for correct diagnosis and appropriate treatment for this situation.

並列關鍵字

Meckel's diverticulum ； intussusception ； laparoscopy