<原著>メッケル憩室を伴っていた虫切後腸閉塞の一症例

概要

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A lean 24 year old man was operated on for intestinal obstruction. The pt. occasionally suffered from diarrhea, dull abdominal pains, abdominal distension, nausea and transient rectal bleeding, since he had undergone appendectomy at 7 year-old age. At laparotomy, strangulating obstruction with Meckel's diverticulum in the ileum was revealed, and right hemicolectomy was done. Meckel's diverticulum, 6.5 cm in breadth and 7.5 cm in length, was in the ileum aparting 28 cm anal from the ileocaecal valve. Pathologic examination of diverticulum revealed no heterotopic tissue but marked atrophic, partially detached mucosa with characteristic inflammatory cells. Serosa, on the other hand, was hypertrophic with partial fibrosis, and from this fact obsolete inflammation of diverticulum was suspectable. Also the specimen showed marked lymphoid hyperplasia in the mucosa of the terminal ileum.
近畿大学の論文
1978-06-25