结肠肠道重复作为与婴儿的沃氏综合征相关的指导点. 第一个国家案件
Jesús R Aguirre-López1, Isaías Gómez-Barrera1, Othón Romero-Terán1
1Servicio de Cirugía Pediátrica, Hospital Regional Licenciado Adolfo López Mateos, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Ciudad de México, México.
Boletin medico del Hospital Infantil de Mexico
|July 24, 2025
概括
沃氏综合征是肠道阻塞的罕见原因,可能涉及肠道转化不良和阴道化. 这一案例突出了一个独特的结肠肠道重复的实例,作为儿科患者的领先点.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 医学案例报告 病例报告
背景情况:
- 沃氏综合征是一种罕见的疾病,其特征是由于输卵和逆转而导致肠道阻塞.
- 它在医学文献中很少被报道.
- 这一案例集中在婴儿中罕见的沃氏综合征呈现.
研究的目的:
- 提出一个临床案例,一个男婴患有多重肠道阻塞.
- 为了突出沃氏综合征作为潜在原因.
- 强调结肠肠道重复的作用作为一个领先点.
主要方法:
- 在一个出现机械肠道阻塞的4个月大的男婴身上进行了紧急探索性腹腔切除术.
- 手术揭示了结肠-结肠肠道内膜异位,上升结肠的囊性肠道重复作为领先点,以及肠道恶性旋转.
- 外科干预包括与重复,ileotransversoanastomosis和拉德手术的ileocecocolic切除.
主要成果:
- 该患者成功地接受了对沃氏综合征的手术纠正.
- 手术后的康复情况令人满意.
- 婴儿在6个月的随访期间表现出良好的临床进化.
结论:
- 沃氏综合征仍然是一个罕见的诊断,尽管它的描述超过一个世纪前.
- 结肠直肠异常不常见,发生在2.5%的病例中,通常有领先点.
- 结肠直肠异位与结肠囊性重复作为领先点的关联非常罕见,在文献中没有先前的报告.
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