Fernandez V, Peiper Ch, Klosterhalfen B, Schumpelick V
Chirurgische Universitäts- und Poliklinik, RWTH Aachen.
Chirurg. 2003 Sep;74(9):856-9. doi: 10.1007/s00104-003-0708-5.
We report a case of postoperative ileocecal invagination in a 63-year-old male. Forty-six days after esophageal resection and gastric tube reconstruction with cervical anastomosis for an esophageal carcinoma, the patient suffered from colicky pain in the right abdomen. The diagnostics showed an ileocecal invagination up to the right flexure of the colon. The invagination was based on a leiomyoma of the terminal ileum. Because of necrosis of the mucous membrane, an ileocecal resection with ileoascendostomy could not be avoided. We discuss this case on the basis of the existing literature.
我们报告一例63岁男性患者术后回盲部套叠的病例。该患者因食管癌接受食管切除及胃管重建并颈部吻合术后46天,出现右下腹绞痛。诊断显示回盲部套叠直至结肠右曲。套叠是由回肠末端平滑肌瘤引起的。由于黏膜坏死,不得不进行回盲部切除及回肠升结肠吻合术。我们根据现有文献对该病例进行讨论。