推迟的malrotation的介绍:案例系列和文献审查
Himanshu Menghwani1, Rajat Piplani1, Enono Yhoshu1
1Department of Pediatric Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Journal of Indian Association of Pediatric Surgeons
|August 28, 2023
概括
超过婴儿期出现的肠道恶性旋转很少见,并且由于各种症状,经常被误诊. 早期诊断和干预,就像拉德手术一样,对于预防诸如肠道缺血等并发症至关重要.
科学领域:
- 儿科手术 儿科手术
- 遗传异常是一种先天性异常.
- 胃肠道疾病 胃肠道疾病
背景情况:
- 肠道恶性旋转是中肠旋转和固定的一种先天性异常.
- 虽然常见于新生儿,但很少出现超过婴儿期.
研究的目的:
- 描述临床特征,放射学发现,以及在婴儿期后出现肠道恶性转换的患者的治疗结果.
- 要强调诊断的挑战和早期干预的重要性在延迟的轮回不良的病例.
主要方法:
- 对11个连续推迟肠道恶性转化呈现的病例 (2017-2021) 的回顾性分析.
- 诊断方式包括超声波,上部胃肠道对比研究和对比增强的计算机断层扫描.
- 治疗涉及拉德手术,有些病例需要切除解剖解剖或囊切除.
主要成果:
- 患者的年龄从14个月到18岁不等,表现为扩散的腹痛,与新生儿胆汁吐不同.
- 五名患者有相关的异常 (例如,内肠,裂坚果综合征).
- 在11名患者中,有8名患者获得了良好的结果;两名患者患有粘合阻塞,一名患者患有持续性血栓塞.
结论:
- 在老年儿童中,肠道恶性转变不常见,并且由于非特异性症状,经常被忽视.
- 怀疑的高指数和先进的成像对于诊断至关重要,识别特征性血管重新定位.
- 迅速的手术干预可以避免严重的并发症,如卷积和缺血.
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