Misdiagnosed Meckel's diverticulum with internal hernia mimicking appendicitis:A case report  

作　　者：Qi Zhang Xiu-Juan Xu Jun Ma Ya-Ming Zhang 

机构地区：[1]Department of General Surgery,Anqing Municipal Hospital,Anqing 246000,Anhui Province,China [2]Department of Critical Medicine,Anqing Municipal Hospital,Anqing 246000,Anhui Province,China

出　　处：《World Journal of Clinical Cases》2024年第20期4391-4396,共6页世界临床病例杂志

摘　　要：BACKGROUND Meckel's diverticulum is a common congenital anomaly of the gastrointestinal tract,with a higher incidence rate in children under 7 years old.The condition is characteristically asymptomatic but may become a clinical concern when complications such as intestinal obstruction,bleeding,perforation,or diverticulitis precipitate acute abdominal presentations.CASE SUMMARY This report describes the case of a middle-aged man initially suspected of having acute appendicitis,which rapidly progressed to acute peritonitis with concomitant intestinal obstruction observed during preoperative assessment.Surgical exploration confirmed the diagnosis of Meckel's diverticulum-induced internal hernia,accompanied by intestinal obstruction and necrosis.In addition,the hernial ring base exhibited entrapment resembling a surgical knot.CONCLUSION Meckel's diverticulum is a rare cause of small bowel obstruction in adults,and it should be considered in a differential diagnosis.

关 键 词：Meckel's diverticulum Internal hernia Intestinal necrosis PERITONITIS Case report 

分 类 号：R726.5[医药卫生—儿科]