Zachariah Sanoop Koshy
Department of Surgical Disciplines, M.O.S.C Medical College, Kolenchery, Cochin, Kerala, India.
J Emerg Trauma Shock. 2011 Jul;4(3):430-2. doi: 10.4103/0974-2700.83881.
Adult necrotizing enterocolitis and non occlusive mesenteric ischemia are rare causes of acute abdomen in adults. Accurate preoperative diagnosis is often difficult in these cases. Here, four cases of massive bowel necrosis with varying segments of small and large bowel involvement are described, all of whom underwent surgery. These cases give an opportunity to review the literature on such lethal diseases including non occlusive intestinal necrosis, neonatal necrotizing enterocolitis and adult necrotizing enterocolitis. The similarities and differences in etiology, pathophysiology, clinical and radiological findings are discussed.
成人坏死性小肠结肠炎和非闭塞性肠系膜缺血是成人急性腹痛的罕见病因。在这些病例中，准确的术前诊断往往很困难。在此，描述了4例大肠广泛坏死且累及不同节段小肠和大肠的病例，所有患者均接受了手术。这些病例为回顾关于此类致命疾病的文献提供了契机，这些疾病包括非闭塞性肠坏死、新生儿坏死性小肠结肠炎和成人坏死性小肠结肠炎。文中讨论了它们在病因、病理生理学、临床和影像学表现方面的异同。
