新生児 Meckel 憩室穿孔の1例

概要

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A Japanese male infant, 3,280 grams, was born at 39 weeks after an uneventful pregnancy and delivery. On the fourth day, his abdomen developed distend with good general condition. Abdominal upright films showed a free air under the right side diaphragm, an air fluid level in the stomach, and the presence of bowel gas. Other laboratory studies revealed no septic findings. At laparotomy, a pin-point perforation was found at the tip of a small Meckel's Diverticulum which was about 2.0 cm long located about 20cm oral from the ileo-cecal junction. There were no pus and turbid fluid in the peritoneal cavity. A diverticulectomy was performed. Microscopically, the ectopic gastric mucosa (fundic type) was recognized at the site of perforation. Postoperative course was uneventful and he was discharged 16 days later. To our knowledge, 10 cases of perforation of Meckel's Diverticulum in the newborn period have been reported in Japanese literature.
1980-04-20