Morishima Tatsuya, Kato Itaru, Umeda Katsutsugu, Hiramatsu Hidefumi, Okamoto Shinya, Furuta Akihiro, Nakamata Takeharu, Adachi Souichi, Heike Toshio, Watanabe Ken-ichiro
Department of Pediatrics, Kyoto University, Kyoto, Japan.
Pediatr Int. 2014 Apr;56(2):279-82. doi: 10.1111/ped.12251.
A 9-year-old boy undergoing chemotherapy for conventional osteosarcoma complained of severe abdominal pain associated with rebound tenderness and muscular defense. Abdominal computed tomography indicated intraperitoneal free air. On surgical investigation, a diverticulum-like lesion, perforated at the base, was found on the sidewall of the ileum. The anatomic location of the lesion was indicative of enteric duplication. Although the frequency of complications is very rare, perforations of the digestive tract should be considered in patients suffering severe abdominal pain while receiving chemotherapy.
一名9岁男孩因传统骨肉瘤正在接受化疗，他主诉严重腹痛，伴有反跳痛和肌卫。腹部计算机断层扫描显示腹腔内有游离气体。手术探查时，在回肠侧壁发现一个基部穿孔的憩室样病变。该病变的解剖位置提示为肠重复畸形。尽管并发症的发生率非常低，但对于接受化疗时出现严重腹痛的患者，应考虑消化道穿孔的可能。
