Appendicitis combined with Meckel’s diverticulum obstruction, perforation, and inflammation in children: Three case reports  

作　　者：Yi-Meng Sun Wang Xin Yu-Fang Liu Zhe-Ming Guan Hao-Wen Du Ning-Ning Sun Yong-Dong Liu 

机构地区：[1]School of Clinical Medicine,Weifang Medical University,Weifang 261000,Shandong Province,China [2]Department of Pediatric Surgery,Weifang People’s Hospital,Weifang 261000,Shandong Province,China [3]Department of Burn Surgery,Weifang People’s Hospital,Weifang 261000,Shandong Province,China

出　　处：《World Journal of Clinical Cases》2024年第4期865-871,共7页世界临床病例杂志

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 inflammation.To date,only a few cases have been reported world-wide.In children,the clinical symptoms are similar to appendicitis.As most of the imaging features are nonspecific,the preoperative diagnosis is not precise.In addition,the clinical characteristics are highly similar to pediatric acute appendicitis,thus special attention is necessary to distinguish Meckel’s diver-ticulum from pediatric appendicitis.Patients with poor disease control should undergo laparoscopic exploration to avoid serious complications,including intestinal necrosis,intestinal perforation and gastrointestinal bleeding.CASE 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 inflammation.All three patients,aged 11-12 years,had acute appendicitis as their initial clinical presentation.All 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 provided.CONCLUSION Preoperative diagnosis of Meckel’s diverticulum and its complications is challenging because its clinical signs and complications are similar to those of appendicitis in children.Laparoscopy combined with laparotomy is useful for diagnosis and treatment.

关 键 词：Meckel’s diverticulum Complications Intestinal obstruction PERFORATION Appendicitis in children Mesodiverticular band LIGAMENT Diverticular disease Case report 

分 类 号：R781.5[医药卫生—口腔医学]