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盲肠扭转:小儿患者肠梗阻的罕见病因,术前通过传统影像学检查得以诊断。

Cecal volvulus: a rare cause of bowel obstruction in a pediatric patient diagnosed pre-operatively by conventional imaging studies.

作者信息

Vo Nghia J, O'Hara Sara M, Alonso Maria H

机构信息

Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229, USA.

出版信息

Pediatr Radiol. 2005 Nov;35(11):1128-31. doi: 10.1007/s00247-005-1525-4. Epub 2005 Jun 22.

Abstract

Cecal volvulus is an acute surgical condition that is extremely rare in children, with a mortality rate of up to 40%. The clinical symptoms are often non-specific, and pediatric patients frequently have neurological deficits with associated communication difficulties, making the clinical diagnosis extremely challenging. Conventional radiographic imaging studies play a key role in the prospective diagnosis in children. We report a rare case of cecal volvulus in a 12-year-old boy who was diagnosed pre-operatively by abdominal radiographs and a contrast enema.

摘要

盲肠扭转是一种急性外科病症,在儿童中极为罕见,死亡率高达40%。其临床症状通常不具有特异性,儿科患者常常伴有神经功能缺损及相关的沟通障碍,这使得临床诊断极具挑战性。传统的放射影像学检查在儿童前瞻性诊断中起着关键作用。我们报告一例12岁男孩的罕见盲肠扭转病例,该病例术前通过腹部X光片和钡剂灌肠得以确诊。

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