Brown Bazil Ricardo, Hennessey Iain, Lansdale Nicholas, Humphrey Gillian
Department of Surgery, Royal Manchester Children's Hospital, Manchester, UK.
J Pediatr Surg. 2008 Nov;43(11):e9-e11. doi: 10.1016/j.jpedsurg.2008.06.043.
Segmental dilatation of intestine (SDI) is a very uncommon condition affecting children. The case that we present suggests that SDI may have may histologic findings in common with vitellointestinal remnants. A limited resection or other minimal procedure to preserve bowel length is usually undertaken for SDI. However, this case illustrates that the dilated segments of small bowel should be completely excised, in the same fashion as for vitellointestinal duct remnants, because of the possible presence of ectopic gastric mucosa and exocrine pancreatic tissue.
肠道节段性扩张(SDI)是一种影响儿童的非常罕见的病症。我们所呈现的病例表明,SDI可能具有与卵黄管残余物相同的组织学表现。对于SDI,通常会进行有限切除或其他微创操作以保留肠长度。然而,该病例表明,由于可能存在异位胃黏膜和外分泌胰腺组织,小肠扩张段应与卵黄管残余物一样完全切除。