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先天性肠梗阻 1 例报告。

Intestinal Obstruction of Congenital Origin: A Case Report.

机构信息

Department of Pediatrics, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.

Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2020 Jan;58(221):59-61. doi: 10.31729/jnma.4708.

Abstract

Congenital bands are rare causes of intestinal obstruction and often leads to diagnostic challenges. Diagnostic delays in cases of mechanical obstruction might lead to irreversible bowel ischemia and perforation. Presently described is a case of an 18 month young child with severe vomiting developed for one day. The child was initially thought to have acute viral enteritis and treated accordingly. Due to the severity, an X-Ray and computed tomography scan were sent which pointed towards the possibility of having congenital bands. He was treated operatively. The child was kept under observation for eleven days and was discharged. Although rare, intestinal obstruction due to congenital bands must be considered when treating a child with severe vomiting. Keywords: case reports, congenital abnormalities, intestinal obstruction, vomiting.

摘要

先天性束带是肠梗阻的罕见原因,常导致诊断困难。机械性肠梗阻的诊断延迟可能导致不可逆转的肠缺血和穿孔。目前描述的是一例 18 个月大的儿童,其严重呕吐持续了一天。该患儿最初被认为患有急性病毒性肠炎,并进行了相应的治疗。由于病情严重,进行了 X 射线和计算机断层扫描,提示可能存在先天性束带。他接受了手术治疗。患儿在观察 11 天后出院。虽然罕见,但在治疗严重呕吐的儿童时,必须考虑先天性束带引起的肠梗阻。关键词:病例报告,先天性异常,肠梗阻,呕吐。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9381/7580479/8f6aa0f4d89b/JNMA-58-221-59-g1.jpg

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