When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

梅克尔憩室

最后审阅: 10 Oct 2024
最后更新: 08 Apr 2022

小结

定义

病史和体格检查

关键诊断因素

  • 年龄< 2 岁
  • 经直肠排出鲜红血便(便血)
  • 顽固性便秘(顽固便秘)
完整详情

其他诊断因素

  • 男性
  • 恶心和呕吐
  • 腹部绞痛
  • 下腹痛
  • 弥漫性腹部压痛
  • 可触及腹部包块
  • 低血压/心动过速
完整详情

危险因素

  • 尚无已知的危险因素
完整详情

诊断性检查

首要检查

  • 全血细胞计数 (FBC)
  • 锝-99m 高锝酸盐扫描(‘麦克尔扫描’)
  • 腹部和盆腔 CT 扫描
  • 腹部超声
完整详情

需考虑的检查

  • 对比灌肠
  • 肠系膜血管造影
  • 小肠内镜检查
  • 腹部手术探查
完整详情

治疗流程

急症处理

无症状

症状性

撰稿人

作者

Ali Tavakkoli, MBBS, FRCS, FACS
Ali Tavakkoli

Chief

Division of General and GI Surgery

Brigham and Women's Hospital

Associate Professor of Surgery

Harvard Medical School

Boston

MA

利益声明

AT declares that he has no relevant financial conflicts related to this topic.

鸣谢

Dr Ali Tavakkoli would like to gratefully acknowledge Dr Gordon G. Wisbach, a previous contributor to this topic.

利益声明

GGW declares that he has no competing interests.

同行评议者

Sina Dorudi, PhD, FRCS, FRCS (Gen)

Professor of Surgical Oncology

Consultant Colorectal Surgeon

The Royal London Hospital

London

UK

利益声明

SD declares that he has no competing interests.

Wael El-Matary, MBBCh, MD, MRCP

Assistant Professor of Pediatrics

University of Alberta

Edmonton

Alberta

Canada

利益声明

WEM declares that he has no competing interests.

Stephen Kavic, MD

Associate Professor of Surgery

University of Maryland

Baltimore

MD

利益声明

SK declares that he has no competing interests.

内容使用需遵循免责声明