Chavanis N, Boumahni B, Jacquier C, Piolat C, Leroux F, Dyon J F
Service de chirurgie pédiatrique générale, CHU de Grenoble, France.
Arch Pediatr. 1999 May;6(5):530-2. doi: 10.1016/s0929-693x(99)80559-4.
Jejunal intussusception is uncommon in comparison with ileocolic form. It is more frequent in children over 2 years of age and has an atypical subacute presentation. An underlying anatomical cause is usually found.
A 14-year-old boy was admitted for abdominal pain with bilious vomiting. The physical examination was normal, with only the ultrasonography showing an intussusception in the left hypochondrium. At laparotomy the diagnosis of jejunal intussusception was made; its reduction was impossible. A resection and end to end anastomosis was performed. The anatomopathology examination found a polyp in ectopic gastric mucosa.
Jejunal intussusception must be better understood as its diagnosis could be made too late. Surgical exploration is the treatment of choice because of the usual underlying anatomical cause.
与回结肠型肠套叠相比，空肠肠套叠并不常见。它在2岁以上儿童中更为常见，且呈现非典型的亚急性表现。通常能找到潜在的解剖学病因。
一名14岁男孩因腹痛伴胆汁性呕吐入院。体格检查正常，仅超声检查显示左季肋部有肠套叠。剖腹手术时诊断为空肠肠套叠；无法将其复位。进行了切除及端端吻合术。解剖病理学检查发现异位胃黏膜中有一个息肉。
必须更好地了解空肠肠套叠，因为其诊断可能过晚。由于通常存在潜在的解剖学病因，手术探查是首选的治疗方法。
