Berge V
Tidsskr Nor Laegeforen. 1989 Sep 20;109(26):2655-6.
The artickle describes a case of intussusception of colon in a 72 year-old woman. It was diagnosed by laparotomi. Intestinal intussusception is a rarity in adults, and is usually difficult to diagnose. The history often runs over a long period, sometimes more than a year. The most important symptom is intermittant abdominal pain, often accompanied by abdominal tumor and hematochezia. The etiology is usually an intestinal tumor. Intussusception of colon is usually associated with a primary malignant tumor. There is some controversy about the correct surgical management. Intussusception of colon is treated by primary resection without initial attempt at reduction. It is usually advocated to reduce an intussusception of the small intestine initially, before primary reduction.
该文章描述了一名72岁女性的结肠套叠病例。通过剖腹手术确诊。肠套叠在成年人中较为罕见,通常难以诊断。病史往往持续很长时间,有时超过一年。最重要的症状是间歇性腹痛,常伴有腹部肿块和便血。病因通常是肠道肿瘤。结肠套叠通常与原发性恶性肿瘤有关。关于正确的手术治疗存在一些争议。结肠套叠采用一期切除治疗,不首先尝试复位。通常主张在一期切除前先对小肠套叠进行复位。