Varban Oliver, Tavakkoli Ali
University of Michigan Health Systems, Ann Arbor, MI, USA
Brigham and Women's Hospital, Boston, MA, USA.
J Surg Case Rep. 2012 Dec 4;2012(11):rjs011. doi: 10.1093/jscr/rjs011.
Intestinal intussusception is a rare cause of bowel obstruction in adults and can be associated with a pathologic lead point. We report a case of multiple simultaneous small bowel intussusceptions in a 41-year-old female who presented with a 3-week history of intermittent, crampy epigastric abdominal pain, nausea and diarrhea. Computed tomography imaging demonstrated two areas of intussusception. The patient underwent exploratory laparoscopy, and six separate regions of intussusception were discovered.
肠套叠是成人肠梗阻的罕见病因,可能与病理性引导点有关。我们报告一例41岁女性同时发生多处小肠套叠的病例,该患者有3周间歇性、痉挛性上腹部腹痛、恶心和腹泻的病史。计算机断层扫描成像显示了两个套叠区域。患者接受了腹腔镜探查,发现了六个独立的套叠区域。