Alsharief Alaa N, Blackmore Christopher, Schmit Pierre
Diagnostic Imaging Department, IWK Health Centre Dalhousie University, Halifax, NS, Canada.
Department of Diagnostic Imaging, The Hospital for Sick Children, University of Toronto, 555 University Ave, Toronto, ON, M5G 1X8, Canada.
Pediatr Radiol. 2017 Oct;47(11):1539-1541. doi: 10.1007/s00247-017-3894-x. Epub 2017 May 17.
We report a case of a 10-month-old girl who presented with a 10-day history of emesis that became bilious on the last day. The initial evaluation suggested small bowel obstruction. An upper gastrointestinal study confirmed the normal location of the duodenojejunal junction with normal rotation and no evidence of midgut volvulus. Ultrasound (US) evaluation demonstrated two intraluminal lesions that do not follow the typical features of solid or cystic lesions. Two rubber balls were found at surgery to be responsible for the small bowel obstruction. Foreign body ingestion is common in children, but this case demonstrates a unusual foreign object to be ingested as well as the US appearance of this particular foreign body.
我们报告一例10个月大的女孩,她有10天的呕吐史,最后一天呕吐物变为胆汁样。初步评估提示小肠梗阻。上消化道造影证实十二指肠空肠交界处位置正常,旋转正常,无中肠扭转迹象。超声(US)评估显示两个腔内病变,不符合实性或囊性病变的典型特征。手术中发现两个橡皮球是导致小肠梗阻的原因。儿童异物吞食很常见,但该病例显示了吞食的异物不寻常以及这种特殊异物的超声表现。