Schmidt S C, Langrehr J M, Rivas E
Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Charité Campus Virchow Klinikum, Humboldt-Universität zu Berlin.
Zentralbl Chir. 2000;125(11):907-9. doi: 10.1055/s-2000-10058.
In contrast to children, intussusception is an unusual cause of an abdominal emergency in adults. We report on a 65-year-old patient who complained of inconstant crampy abdominal pain for a period of over 6 months. He was admitted to our hospital because of acute intestinal obstruction. Sonography and computer tomography suggested an intussusception. At surgery the diagnosis of an ileo-ileal invagination was confirmed and resection of a segment of the ileum was performed. As shown by macroscopic findings intussusception had existed for several days. Histologically, the underlying disease causing the intussusception was a leiomyoma arising from the submucosa.
与儿童不同，肠套叠在成人腹部急症中是一种不常见的病因。我们报告一例65岁患者，其诉说持续6个多月的不恒定的痉挛性腹痛。他因急性肠梗阻入院。超声和计算机断层扫描提示肠套叠。手术时证实为回肠-回肠套叠，并进行了一段回肠切除术。肉眼所见显示肠套叠已存在数天。组织学检查发现，引起肠套叠的潜在疾病是起源于黏膜下层的平滑肌瘤。
