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婴儿和幼儿的结肠网:慢性肠道阻塞的原因之一
Gaurav Prasad1, Nishant Godwin Xess1, Abhishek Ranjan2
1Paediatric Surgery, Rajendra Institute of Medical Sciences, Ranchi, JH, India.
BMJ case reports
|July 14, 2025
概括
在婴儿和幼儿中,结肠网的延迟呈现可能会导致肠道阻塞. 在两个儿科病例中,手术干预,包括网膜切除,导致了成功的结果,强调了早期诊断和随访.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 结肠网络是一种罕见的先天性异常,通常存在于新生儿身上.
- 在老年儿童中,延迟诊断带来了重大挑战.
- 症状包括慢性便秘,腹部膨胀和无法壮成长.
研究的目的:
- 在儿科患者中报告两例延迟结肠网的病例.
- 突出诊断和治疗与晚发性结肠网相关的挑战.
- 强调广泛的差异诊断和仔细的随访的重要性.
主要方法:
- 两名儿科患者 (婴儿和幼儿) 患有阻塞性肠道症状的病例报告.
- 诊断工作包括成像和探索性腹腔切除术.
- 手术管理涉及网络切除和转移结肠静脉.
主要成果:
- 探索性腹腔切除术证实了两名患者的结肠网.
- 进行了成功的结肠网外科切除和转移结肠静脉切除.
- 两位患者在手术后显著改善,没有意外的恢复.
结论:
- 结肠网的延迟呈现需要在患有阻塞症状的儿科患者中高度怀疑指数.
- 图像和手术内发现对于诊断至关重要.
- 手术后的随访是必要的,以排除并存的疾病,如赫施普朗格病.
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