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横结肠切除术后成人肠套叠——一种罕见的并发症。

Adult postoperative intussusception following transverse colectomy--a rare complication.

作者信息

Jawale Atul, Murari Arun, Para Wallyjon, Ali Akhtar

机构信息

Fiji School of Medicine, Suva, Fiji.

出版信息

Pac Health Dialog. 2010 Sep;16(2):82-4.

Abstract

Postoperative intussusception is a rare cause of intestinal obstruction in adults. We report a case of postoperative jejunojejunal intussusception in a 45-year-old female following a transverse colectomy for a colonic tumour. The patient presented with intermittent bowel obstruction on the fourth day of her operation. A re-laparotomy performed on day twenty one revealed a jejunojejunal intussusception as the cause for the obstruction. This is a rare cause of postoperative small bowel obstruction, and the pathogenesis and diagnosis of postoperative intussusception in the adult is discussed in the case report.

摘要

术后肠套叠是成人肠梗阻的罕见原因。我们报告一例45岁女性在因结肠肿瘤行横结肠切除术后发生空肠空肠套叠的病例。该患者在术后第4天出现间歇性肠梗阻。在第21天行再次剖腹探查术,发现空肠空肠套叠是梗阻的原因。这是术后小肠梗阻的罕见原因,本病例报告讨论了成人术后肠套叠的发病机制和诊断。

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