Clinical features of adult patients with acute intestinal obstruction secondary to Meckel's diverticulum
10.3760/cma.j.issn.0254-1432.2011.02.006
- VernacularTitle:成人美克尔憩室所致急性肠梗阻的临床特点
- Author:
Liang LIU
;
Zhenli ZHOU
;
Nan ZHANG
;
Qiang YANG
;
Tongtong WANG
- Publication Type:Journal Article
- Keywords:
Meckel diverticulum;
Intestinal obstruction;
Diagnosis;
Retrospective studies
- From:
Chinese Journal of Digestion
2011;31(2):91-94
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical features of adult patients with acute intestinal obstruction secondary to Meckel's diverticulum and the experience in management of the disease.Methods The clinical data and pathological features of 9 patients with acute intestinal obstruction secondary to Meckel' s diverticulum were retrospectively analyzed. Results All patients were diagnosed with acute intestinal obstruction secondary to Meckel's diverticulum via abdominal cavity exploration and underwent surgical treatment. Before surgical treatment, 1 out of 9 patients was correctly diagnosed as acute intestinal obstruction secondary to Meckel's diverticulum, and the other 8patients were diagnosed as acute intestinal obstruction. Diverticulum was resected in 5 cases and the rest 4 cases received partial excision of small intestine including the diverticulum. Pathological examination showed that all patients had inflammatory changes in diverticulum. Some patients were complicated with mucosal erosion, small ulcers, bleeding or perforation. Forty-four percent (4/9) of diverticula contained ectopic tissue. All patients were cured. Conclusion Meckel's diverticulum is a rare cause of acute intestinal obstruction and preoperative diagnosis is difficult. Diverticulum,howere,is likelihood to develop strangulation or contains ectopic tissue, so that the surgical treatment should be performed early.
