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超声记录儿童肠套叠自然复位情况

Documentation of spontaneous reduction of childhood intussusception by ultrasound.

作者信息

Morrison S C, Stork E

机构信息

Case Western Reserve University, School of Medicine, Cleveland, Ohio.

出版信息

Pediatr Radiol. 1990;20(5):358-9. doi: 10.1007/BF02013178.

Abstract

Spontaneous reduction of a presumed ileo-colonic intussusception was demonstrated by ultrasound examination followed by a barium enema. No premedication or anesthetic had been given to the child. This case illustrates the possible natural history of intussusception rarely confirmed by imaging studies. Intussusception is the most common abdominal emergency of early childhood. Diagnosis and therapy is usually performed with a contrast enema. If unsuccessful, surgical reduction is indicated. We wish to report a case of spontaneous reduction of a presumed ileocolonic intussusception. This was initially diagnosed by ultrasound examination, but had spontaneously reduced by the time a barium enema was performed.

摘要

超声检查随后进行钡剂灌肠显示,一例疑似回结肠套叠出现了自发性复位。该患儿未接受任何术前用药或麻醉。本病例说明了套叠可能的自然病程,而这很少能通过影像学检查得到证实。套叠是幼儿期最常见的腹部急症。诊断和治疗通常通过造影灌肠进行。如果不成功,则需进行手术复位。我们希望报告一例疑似回结肠套叠自发性复位的病例。该病例最初通过超声检查确诊,但在进行钡剂灌肠时已自行复位。

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