A Case of Meckel's Diverticulum with Multiple Enteroliths Treated Laparoscopically
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- YAMADA Takanori
- Department of Surgery, Kasumigaura Medical Center
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- OKAZAKI Masaya
- Department of Surgery, Kasumigaura Medical Center
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- SUZUKI Takatomo
- Department of Surgery, Kasumigaura Medical Center
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- ODA Tatsuya
- Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Faculty of Medicine, University of Tsukuba
Bibliographic Information
- Other Title
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- 腹腔鏡下に切除した多発腸石を伴うMeckel憩室の1例
- フククウキョウ カ ニ セツジョ シタ タハツ チョウセキ オ トモナウ Meckel ケイシツ ノ 1レイ
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Description
<p>A 46-year-old woman was referred to our hospital for a detailed examination of a mass with tenderness in the right lower abdomen. Contrast-enhanced computed tomography of the abdomen showed a 4-cm mass with multiple calcified stones and fluid in the pelvic cavity. The mass was in contact with the terminal ileum and was diagnosed as a Meckel's diverticulum with enteroliths. Blood tests showed no inflammatory reaction, but the patient was symptomatic, so elective laparoscopic resection of the Meckel's diverticulum was performed. Postoperative histopathological examination showed Meckel's diverticulum with ectopic gastric mucosa, and about 20 enteroliths in the diverticulum were 0.5-2 cm in size, including sharp ones. Postoperatively, the abdominal pain resolved. Although Meckel's diverticulum may necessitate emergency surgery due to complications such as diverticulitis or perforation, asymptomatic Meckel's diverticulum does not require treatment, and there have been few cases of elective surgery reported. Although Meckel's diverticulum with enteroliths is rare, if enteroliths are thought to cause chronic abdominal pain, diverticulitis, or perforation, elective surgery should be considered.</p>
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 84 (9), 1459-1465, 2023
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390581148794006272
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 033106191
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
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- Abstract License Flag
- Disallowed