Dean Anthony J, Lafferty Keith, Villanueva Tricia C
Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104-4283, USA.
J Emerg Med. 2003 Feb;24(2):203-10. doi: 10.1016/s0736-4679(02)00726-6.
An adult patient presented to the Emergency Department (ED) with abdominal pain caused by intussusception. The diagnosis had not been made despite several prior evaluations for episodes of similar symptoms. The diagnosis was finally made by bedside ultrasound performed by the treating physicians in the ED. The patient's underlying condition of Peutz-Jeghers Syndrome with intestinal polyps was also previously undiagnosed. The discussion reviews and compares clinical aspects of intussusception in adults and children. Sonographic findings of intussusception and their pathological basis are described, and the accuracy of sonography in the diagnosis of intussusception is reviewed.
一名成年患者因肠套叠导致腹痛，前往急诊科就诊。尽管此前曾对类似症状发作进行过多次评估，但仍未确诊。最终，急诊科的主治医生通过床边超声检查做出了诊断。该患者潜在的伴有肠道息肉的黑斑息肉综合征此前也未被诊断出来。本文讨论回顾并比较了成人和儿童肠套叠的临床情况。描述了肠套叠的超声检查结果及其病理基础，并回顾了超声检查在肠套叠诊断中的准确性。
