成人首例由大肠杆菌O157:H7引起的肠套叠病例报告：文献综述与病例报告
First Reported Case of Intussusception Caused by Escherichia coli O157:H7 in an Adult: Literature Review and Case Report.
作者信息
Cha Peter I, Gurland Brooke, Forrester Joseph D
机构信息
Department of Surgery, Stanford University , Stanford, California.
出版信息
Surg Infect (Larchmt). 2019 Jan;20(1):95-99. doi: 10.1089/sur.2018.137. Epub 2018 Oct 25.
BACKGROUND
Intussusception is the process by which one segment of intestine "telescopes" into another segment. Escherichia coli O157:H7 is a rare cause of intussusception that uncommonly requires a surgical procedure.
METHODS
Case report and literature review.
RESULTS
We reviewed 25 cases of infection with E. coli O157:H7 that resulted in intussusception, all of which involved minors. Our case identifies the first reported adult with intussusception secondary to E. coli infection necessitating surgical intervention. In total, two (8%) required operation. Hemolytic uremic syndrome did not develop in any patient, and there were no deaths.
CONCLUSIONS
E. coli O157:H7-associated intussusception is rare and does not commonly require operation. If conservative management fails, a surgical procedure may be necessary to resect the pathologic lead point.
背景
肠套叠是一段肠管“套入”另一肠段的过程。大肠杆菌O157:H7是肠套叠的罕见病因，通常不需要手术治疗。
方法
病例报告及文献综述。
结果
我们回顾了25例因感染大肠杆菌O157:H7导致肠套叠的病例，所有病例均为未成年人。我们的病例是首例报道的因大肠杆菌感染继发肠套叠且需要手术干预的成年人。总共2例（8%）需要手术。所有患者均未发生溶血尿毒综合征，也无死亡病例。
结论
大肠杆菌O157:H7相关性肠套叠罕见，通常不需要手术。如果保守治疗失败，可能需要手术切除病理性套头。
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