Destro Francesca, Cantone Noemi, Maffi Michela, Gargano Tommaso, Lima Mario
Department of Pediatric Surgery, S. Orsola-Malpighi Hospital, Bologna, Italy.
European J Pediatr Surg Rep. 2014 Jun;2(1):20-2. doi: 10.1055/s-0033-1361925. Epub 2014 Feb 10.
Intussusception is a very common surgical finding in children. Idiopathic intussusception is relatively frequent in children within the first year and it usually causes an acute abdomen. Instead, complex intussusception involving multiple or remote intestinal segments is a very rare entity and it is frequently diagnosed intraoperatively. It is often because of an anatomical cause and it can occur at any age. We report a unique case of contemporary double site anterograde and retrograde ileoileal intussusception without intestinal occlusion because of a submucous intestinal lipoma. In our case, imaging studies were important for clinical suspicion and laparoscopy was essential for final diagnosis and its resolution.
肠套叠是儿童外科常见的病症。特发性肠套叠在一岁以内的儿童中相对常见,通常会导致急腹症。相反,涉及多个或远端肠段的复杂性肠套叠是一种非常罕见的情况,常于术中被诊断出来。其病因多为解剖学因素,可发生于任何年龄。我们报告了一例罕见的同时发生顺行和逆行回肠-回肠套叠的病例,该病例由黏膜下肠脂肪瘤引起,未出现肠梗阻。在我们的病例中,影像学检查对临床怀疑诊断很重要,而腹腔镜检查对最终诊断及解决问题至关重要。