一个儿童内部 Hernia 的病例预示着便秘
Clates P Adams1, Linda Y Meyers2, Ricardo J Rodriguez2
1Emergency Medicine, Madigan Army Medical Center, Tacoma, USA.
这是一个罕见的儿科内部,由与梅克尔分歧管 (MD) 相关的半分歧管带 (MDB) 引起. 手术释放MDB解决了内部,突出了其在儿科便秘病例中的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 儿科手术 儿科手术
- 遗传异常是一种先天性异常.
背景情况:
- 梅克尔 (Meckel's diverticulum,简称MD) 是小肠中最常见的先天性异常.
- 多发性硬化症患者的一小部分患者会发展出半分垂体带 (MDBs),这可能导致内部 (IHs).
- 内部是已知的小肠阻塞的原因,特别是在成年人腹腔外科手术后.
研究的目的:
- 呈现了一种非典型的儿科内病例,由MDB引起.
- 强调在患有便秘的儿科患者中考虑MDB相关的IH的重要性.
主要方法:
- 一个六岁的男性患有慢性便秘,出现急性腹部症状的病例报告.
- 诊断工作包括体检,实验室测试 (白细胞病,高胆血症) 和计算机断层扫描 (CT) 扫描.
- 手术管理涉及诊断性腹腔切除术和MDB的释放.
主要成果:
- 患者出现腹部疼痛,吐和食欲下降.
- CT扫描表明内部;腹腔切除术证实了由MDB引起的IH.
- 外科手术释放MDB导致一个没有事件的恢复.
结论:
- 由MDBs引起的儿科内是罕见的,但显著.
- 对于有症状的多发性肠癌患者,迅速的手术干预至关重要,以预防诸如肠道缩等并发症.
- 在儿童便秘与急性腹部症状的差异诊断中,应考虑MDB相关的IH.
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