Division of Pediatric Surgery, Department of Surgical Sciences, Faculty of Health Sciences, University of Stellenbosch, P.O. Box 19063, Tygerberg, 7505, South Africa.
J Pediatr Surg. 2010 Oct;45(10):e25-8. doi: 10.1016/j.jpedsurg.2010.06.039.
Intussusception is the most common cause of bowel obstruction in infants older than 3 months. The authors report a case of idiopathic compound (ileocolic/colocolic) intussusception in a 5-month-old girl that was resistant to nonsurgical pneumatic (enema) reduction and necessitated open surgery. Compound intussusception is extremely rare but represents a form of intussusception that is likely to be aggravated by attempts at pneumatic reduction with obvious dangers for the unwary. The literature is reviewed, and the terminology was discussed.
肠套叠是 3 个月以上婴儿肠梗阻最常见的原因。作者报告了一例 5 个月大女婴的特发性复合(回肠结肠/结肠结肠)肠套叠,该病例对非手术性气动(灌肠)复位有抵抗力,需要进行开放性手术。复合肠套叠极为罕见,但它是一种肠套叠形式,可能会因气动复位而加重,对不慎的人来说存在明显的危险。对文献进行了回顾,并讨论了相关术语。