Tawil Khalil Al, Crankson Stanley, Emam Saeed, Eldemerdash Alaa, Sabbagh Fauzia, Laimoun Bdeir Abu
Department of Pediatrics, King Fahad National Guard Hospital, Riyadh, Kingdom of Saudi Arabia.
Am J Perinatol. 2005 Jan;22(1):49-52. doi: 10.1055/s-2004-837269.
Intestinal obstruction is the most common surgical emergency in newborn infants. We report a case of cecal duplication cyst (CDC) as a cause of intestinal obstruction in a newborn infant. Prenatal ultrasonography (US) had shown an intra-abdominal cyst that was confirmed by the first postnatal US. Water-soluble contrast enema and a repeat US showed an intracecal cyst, however, the diagnosis of CDC was only established at laparotomy. CDC should be considered in the differential diagnosis of intestinal obstruction in an infant with an intra-abdominal cyst on US and a palpable right iliac fossa mass.
肠梗阻是新生儿最常见的外科急症。我们报告一例盲肠重复囊肿(CDC)导致新生儿肠梗阻的病例。产前超声检查(US)显示腹内囊肿,出生后首次超声检查证实了这一点。水溶性对比剂灌肠和再次超声检查显示盲肠内囊肿,然而,CDC的诊断仅在剖腹手术时才得以确立。对于超声检查发现腹内囊肿且右下腹可触及肿块的肠梗阻婴儿,鉴别诊断时应考虑CDC。