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[小儿肠重复囊肿:首选腹腔镜辅助切除术]

[Intestinal duplication cyst in children: laparoscopically assisted resection is preferred].

作者信息

Verweij E J T Joanne, Allema Jan Hein, Zijp Gerda W

机构信息

HagaZiekenhuis, locatie Juliana Kinderziekenhuis, afd. Kinderchirurgie, Den Haag, the Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2011;155:A2553.

Abstract

A 5-year-old boy was seen for a second opinion as he had episodes of severe abdominal pain and a variably distended abdomen. Ultrasonography showed a suspected duplication cyst of the terminal ileum. A laparoscopically assisted resection was performed. Histology confirmed the diagnosis of a duplication cyst. A few months later a 10-year-old boy presented with a history of abdominal pain, diarrhoea and vomiting. Abdominal ultrasonography showed an intussusception halfway up the transverse colon where a cyst was seen with a fluid level. The intussusception was reduced during laparoscopy and resection of the duplication cyst of the ileum was performed. Although intestinal duplication cysts are rare (prevalence 1:4500), it is important to know they exist. Laparoscopically assisted resection is an elegant way of treating duplication cysts in children.

摘要

一名5岁男孩因反复出现严重腹痛和腹部不同程度膨隆前来求诊以获取第二种意见。超声检查显示回肠末端疑似重复囊肿。遂行腹腔镜辅助切除术。组织学检查确诊为重复囊肿。几个月后,一名10岁男孩因腹痛、腹泻和呕吐前来就诊。腹部超声检查显示横结肠中段肠套叠,可见一有液平的囊肿。在腹腔镜检查期间复位了肠套叠,并对回肠重复囊肿进行了切除。尽管肠重复囊肿罕见(患病率为1:4500),但了解其存在很重要。腹腔镜辅助切除术是治疗儿童重复囊肿的一种很好的方法。

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