Bognár M, Léb J, Dénes J
Acta Paediatr Acad Sci Hung. 1976;17(3):199-206.
Mesenteric vascular occlusion is a rare disease in the paediatric age group. The pertaining literature is reviewed and two cases are reported. In the first one the vascular obstruction developed after a Wilms tumour on the right side had been removed. Following bowel resection and end-to-end anastomosis the patient died of uraemia. Post mortem examination revealed a diffuse membranous glomerulonephritis and pseudoxanthomatosis in the remaining left kidney, the function of which had probably been affected by the shock associated with mesenteric thrombosis. In the second case a mixed mesenteric vascular occlusion was found without any previous disease; after ileal resection and ileo-coecal anastomosis the baby made a smooth recovery.
肠系膜血管阻塞在儿童年龄组中是一种罕见疾病。本文回顾了相关文献并报告了两例病例。第一例中，右侧肾母细胞瘤切除术后发生血管阻塞。肠切除及端对端吻合术后，患者死于尿毒症。尸检显示，剩余的左肾存在弥漫性膜性肾小球肾炎和假性黄色瘤病，其功能可能受到了与肠系膜血栓形成相关的休克的影响。第二例中，发现为混合性肠系膜血管阻塞，之前无任何疾病；回肠切除及回盲部吻合术后，婴儿顺利康复。
