Appendicitis combined with Meckel’s diverticulum obstruction, perforation, and inflammation in children: Three case reports
作者机构:School of Clinical MedicineWeifang Medical UniversityWeifang 261000Shandong ProvinceChina Department of Pediatric SurgeryWeifang People’s HospitalWeifang 261000Shandong ProvinceChina Department of Burn SurgeryWeifang People’s HospitalWeifang 261000Shandong ProvinceChina
出 版 物:《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期:2024年第12卷第4期
页 面:865-871页
核心收录:
学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题:Meckel’s diverticulum Complications Intestinal obstruction Perforation Appendicitis in children Mesodiverticular band Ligament Diverticular disease Case report
摘 要:BACKGROUND Meckel’s diverticulum is a common congenital malformation of the small intestine,with the three most common complications being obstruction,per-foration,and *** date,only a few cases have been reported *** children,the clinical symptoms are similar to *** most of the imaging features are nonspecific,the preoperative diagnosis is not *** addition,the clinical characteristics are highly similar to pediatric acute appendicitis,thus special attention is necessary to distinguish Meckel’s diver-ticulum from pediatric *** with poor disease control should undergo laparoscopic exploration to avoid serious complications,including intestinal necrosis,intestinal perforation and gastrointestinal *** SUMMARY This report presents three cases of appendicitis in children combined with intestinal obstruction,which was caused by fibrous bands(ligaments)arising from the top part of Meckel s diverticulum,diverticular perforation,and diver-ticular *** three patients,aged 11-12 years,had acute appendicitis as their initial clinical *** were treated by laparoscopic surgery with a favorable outcome.A complete dataset including clinical presentation,dia-gnostic imaging,surgical information,and histopathologic findings was also *** Preoperative diagnosis of Meckel’s diverticulum and its complications is challenging because its clinical signs and complications are similar to those of appendicitis in *** combined with laparotomy is useful for diagnosis and treatment.