11 岁男孩的空肠浆膜下血肿。
Jejunal subserosal hematoma in an 11-year-old boy.
机构信息
Department of Pediatric Surgery, Shengjing Hospital, China Medical University, No. 36 Sanhao Street, Heping District, Shenyang, People's Republic of China, 110004.
出版信息
J Gastrointest Surg. 2011 Dec;15(12):2291-2. doi: 10.1007/s11605-011-1595-6.
INTRODUCTION
Intramural hematoma may be subserosal, intramuscular, or submucosal or may involve the entire thickness of the bowel wall. Subserosal hematoma of the jejunum in children is uncommon.
DISCUSSION
We report a case of an 11-year-old boy with a jejunal subserosal hematoma presenting with duodenojejunal obstruction. Emergency laparotomy was performed and subserous hematoma involving the 7-cm long bowel was found. Serosal incision was done for evacuation of blood and clots. The patient had an uneventful postoperative course. The clinical picture and radiological findings were presented and discussed.
简介
壁内血肿可能位于浆膜下、肌层内或黏膜下，也可能累及整个肠壁厚度。儿童空肠壁内血肿并不常见。
讨论
我们报告了一例 11 岁男孩，因空肠壁下血肿导致十二指肠空肠梗阻。行急诊剖腹术，发现长 7cm 的肠壁浆膜下血肿。行浆膜切开术以清除血液和血栓。患者术后恢复顺利。本文呈现并讨论了该病例的临床表现和影像学发现。
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