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坏死性小肠结肠炎远期病史后出现的空肠对系膜缘憩室病:一例报告

Antimesenteric jejunal diverticulosis after a remote history of necrotising enterocolitis: a case report.

作者信息

Monteiro Rosebel, Schneble Erica, Mino Jeffrey, Stallion Anthony

机构信息

Department of General Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.

出版信息

BMJ Case Rep. 2013 Apr 22;2013:bcr2013009335. doi: 10.1136/bcr-2013-009335.

Abstract

Jejunal diverticulosis is a rare, acquired pathology of the small bowel. While most patients are asymptomatic, the condition is difficult to diagnose. It may present with chronic abdominal pain, diarrhoea, bloating and complications including malabsorption, diverticulitis, bleeding, intestinal obstruction or perforation. This is a case presentation of a 27-year-old woman with a history of necrotising enterocolitis (NEC) requiring surgical resection as a premature newborn who presented with recurrent abdominal pain and was found to have several small bowel diverticula intraoperatively. She underwent resection with complete resolution of symptoms over a 2-year follow-up. This is the first case report to suggest that small bowel diverticular disease as a long-term complication of NEC may result in chronic morbidity in long-term survivors.

摘要

空肠憩室病是一种罕见的小肠后天性病变。虽然大多数患者没有症状,但这种疾病很难诊断。它可能表现为慢性腹痛、腹泻、腹胀以及包括吸收不良、憩室炎、出血、肠梗阻或穿孔在内的并发症。本文介绍了一名27岁女性的病例,该女性有坏死性小肠结肠炎(NEC)病史,早产儿时因该病接受了手术切除,此次因反复腹痛就诊,术中发现有多个小肠憩室。她接受了切除术,在2年的随访中症状完全缓解。这是首例表明小肠憩室病作为NEC的长期并发症可能导致长期存活者慢性发病的病例报告。

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