Milbrandt Kris, Sigalet David
Department of Pediatric Surgery, Alberta Children's Hospital, Calgary, Alberta, Canada T3B 6A8.
J Pediatr Surg. 2008 Dec;43(12):e21-3. doi: 10.1016/j.jpedsurg.2008.09.005.
Intussusception is a frequent cause for bowel obstructions and pediatric surgical consults. First described by Barbette in 1674, the etiology and treatment of intussusception has undergone several revisions for the last 300 years. Currently, we understand most intussusceptions in young children to be of idiopathic in nature with the incidence of pathologic lead points increasing with the age of the child. Although both Meckel's diverticulum and duplication cysts have both been reported numerous times in the past as a source of a lead point, we report, to our knowledge, the only case of both found in a child requiring operative reduction.
肠套叠是肠梗阻和小儿外科会诊的常见原因。1674年由巴贝特首次描述,在过去300年里,肠套叠的病因和治疗方法经历了几次修订。目前,我们了解到大多数幼儿肠套叠本质上是特发性的,病理性引导点的发生率随着儿童年龄的增长而增加。尽管梅克尔憩室和重复囊肿过去都曾多次被报道为引导点的来源,但据我们所知,我们报告了唯一一例在需要手术复位的儿童中同时发现这两种情况的病例。