梅克尔憩室炎:一种经常被忽视的阑尾炎

Khushboo Tekriwal, A. Bhoir, H. Karthik
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引用次数: 0

摘要

虽然梅克尔憩室是最常见的胃肠道先天性异常,但由于其临床表现多样且重叠,与阑尾炎、克罗恩病和消化性溃疡等其他常见疾病相似,常被误诊。它可能完全没有症状。超声检查和计算机断层扫描可以通过减少急诊剖腹手术的并发症来指导治疗外科医生进行诊断和计划适当的手术。其他更先进的成像方式,如闪烁成像和侵入性血管造影,可用于不确定的病例。了解梅克尔憩室炎的超声影像特征可以降低梅克尔憩室误诊或漏诊的死亡率和发病率,特别是二三线城市的患者,因为目前偏远地区的超声检查中心已经很发达。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Meckel’s diverticulitis: A frequently overlooked mimic of appendicitis
Although Meckel’s diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract, it is often misdiagnosed due to its varied and overlapping clinical presentation, mimicking other common disorders such as appendicitis, Crohn’s disease, and peptic ulcer disease. It may remain completely asymptomatic. Ultrasonograms and computed tomography together can direct the treating surgeons toward diagnosis and planning appropriate surgery by reducing the complications of emergency laparotomy. Other more advanced imaging modalities, such as scintigraphy and invasive angiography, can be reserved for inconclusive cases. Knowing the imaging features of Meckel’s diverticulitis on ultrasonogram will decrease the mortality and morbidity related to misdiagnosed or undiagnosed cases of Meckel’s diverticulum, especially among patients in 2-tier or 3-tier cities as ultrasonography centers nowadays are readily available in remote areas.
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