Filip F, Goţia D G, Aprodu S G, Vlad A, Savu A, Savu B, Bejenaru T
Facultatea de Medicină Clinica de Chirurgie şi Ortopedie Pediatrică, Universitatea de Medicină şi Farmacie Gr. T. Popa Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2000 Jul-Sep;104(3):119-22.
The persistence of the omphalo-enteric conduct is a rare, but possible, cause of pathology in children. Haemorrhage and intestinal occlusion are the most frequent clinical presentations, usually in infants. We describe the case of a 10 year old boy, who was admitted in our department for what seemed first to be an acute appendicitis. During hospitalization, the clinical picture turned on to an intestinal occlusion, and the patient finally required surgery. We performed exploratory laparotomy and we discovered a mechanical occlusion by persistence of the omphalo-enteric conduct, which was treated according to standard protocols. The post-operative course was good, and the child was discharged 8 days after surgery. This case emphasizes that the persistence of the omphalo-enteric conduct should be sought as the source of symptoms in any child presenting with intestinal occlusion.
脐肠管持续存在是儿童罕见但可能的病理原因。出血和肠梗阻是最常见的临床表现，通常发生在婴儿身上。我们描述了一名10岁男孩的病例，他最初因疑似急性阑尾炎入住我们科室。住院期间，临床表现转变为肠梗阻，患者最终需要手术。我们进行了剖腹探查术，发现是脐肠管持续存在导致机械性梗阻，并按照标准方案进行了治疗。术后过程顺利，患儿术后8天出院。该病例强调，对于任何出现肠梗阻症状的儿童，都应寻找脐肠管持续存在作为症状来源。
