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乳糜泻:幼儿回结肠套叠手术复位后“术后”回肠-回肠套叠的罕见病因。

Celiac disease: a rare cause of 'postoperative' ileoileal intussusception after surgical reduction of ileocolic intussusception in a toddler.

作者信息

Gawrieh Bardisan, Salhab Nabila, Omran Ammar, Alshehabi Zuheir, Taishori Norma, Ali Wajih

机构信息

Pediatric Surgery Department, Tishreen University Hospital, Lattakia, Syria.

Pathology Department, Faculty of Medicine, Tishreen University, Latakia, Syria.

出版信息

J Surg Case Rep. 2020 Jun 1;2020(5):rjaa073. doi: 10.1093/jscr/rjaa073. eCollection 2020 May.

DOI:10.1093/jscr/rjaa073
PMID:32509264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7263756/
Abstract

Intussusception (IS) is defined as invagination of part of the bowel into an adjacent section of the intestines and is the second most common cause of small bowel obstruction in children. Postoperative ileoileal intussusception after surgical reduction is a special type of ileoileal intussusception and is considered idiopathic. This research paper examines the case of a female Syrian toddler who had been diagnosed with ileoileal intussusception after surgical reduction. Diagnosis of celiac disease was later histopathologically confirmed. Celiac disease (CD) may be the underlying cause for special types of intussusception that may be considered idiopathic, and further investigations, such as endoscopy, should be considered.

摘要

肠套叠(IS)被定义为一段肠管套入相邻的肠段,是儿童小肠梗阻的第二大常见原因。手术复位后发生的回肠-回肠套叠是回肠-回肠套叠的一种特殊类型,被认为是特发性的。本研究报告了一名叙利亚女幼儿的病例,该幼儿在手术复位后被诊断为回肠-回肠套叠。后来经组织病理学确诊为乳糜泻。乳糜泻(CD)可能是某些被认为是特发性的特殊类型肠套叠的潜在病因,应考虑进行进一步检查,如内窥镜检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19b1/7263756/cbdf6bb0f82e/rjaa073f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19b1/7263756/fda171bde709/rjaa073f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19b1/7263756/722b8ae07c13/rjaa073f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19b1/7263756/1a7bd5ac4cb8/rjaa073f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19b1/7263756/cbdf6bb0f82e/rjaa073f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19b1/7263756/fda171bde709/rjaa073f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19b1/7263756/722b8ae07c13/rjaa073f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19b1/7263756/1a7bd5ac4cb8/rjaa073f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19b1/7263756/cbdf6bb0f82e/rjaa073f4.jpg

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本文引用的文献

1
Identifying Predictive Factors for the Recurrence of Pediatric Intussusception.识别小儿肠套叠复发的预测因素。
Pediatr Gastroenterol Hepatol Nutr. 2019 Mar;22(2):142-151. doi: 10.5223/pghn.2019.22.2.142. Epub 2019 Mar 7.
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A Rare Cause of Recurrent Abdominal Pain in a 5-Year-Old.一名5岁儿童反复腹痛的罕见病因
J Pediatr Health Care. 2019 Jul-Aug;33(4):478-484. doi: 10.1016/j.pedhc.2018.10.001. Epub 2019 Jan 16.
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Intussusception in celiac disease: Is it a common feature in children?腹腔疾病中的肠套叠:它在儿童中常见吗?
J Gastroenterol Hepatol. 2018 Feb;33(2):380-384. doi: 10.1111/jgh.13865.
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Comparative Effectiveness of Imaging Modalities for the Diagnosis and Treatment of Intussusception: A Critically Appraised Topic.影像模态在肠套叠诊断与治疗中的比较效果:一项严格评价的主题
Acad Radiol. 2017 May;24(5):521-529. doi: 10.1016/j.acra.2017.01.002. Epub 2017 Mar 3.
5
Intestinal Intussusception: Etiology, Diagnosis, and Treatment.肠套叠:病因、诊断与治疗
Clin Colon Rectal Surg. 2017 Feb;30(1):30-39. doi: 10.1055/s-0036-1593429.
6
Case report: transient small bowel intussusception presenting as right lower quadrant pain in a 6-year-old male.病例报告:一名6岁男性以右下腹疼痛为表现的短暂性小肠套叠。
Crit Ultrasound J. 2014 May 22;6(1):7. doi: 10.1186/2036-7902-6-7. eCollection 2014.
7
Should intussusception in children prompt screening for celiac disease?儿童肠套叠是否需要筛查乳糜泻?
J Pediatr Gastroenterol Nutr. 2013 Jan;56(1):56-9. doi: 10.1097/MPG.0b013e31826a1099.
8
Does all small bowel intussusception need exploration?
Afr J Paediatr Surg. 2010 Jan-Apr;7(1):30-2. doi: 10.4103/0189-6725.59358.
9
A special type of postoperative intussusception: ileoileal intussusception after surgical reduction of ileocolic intussusception in infants and children.一种特殊类型的术后肠套叠:婴幼儿回结肠型肠套叠手术复位后发生的回回型肠套叠。
J Pediatr Surg. 2009 Apr;44(4):755-8. doi: 10.1016/j.jpedsurg.2008.08.011.
10
Small bowel intussusception in symptomatic pediatric patients: experiences with 19 surgically proven cases.有症状的小儿患者的小肠套叠:19例手术证实病例的经验
World J Surg. 2002 Apr;26(4):438-43. doi: 10.1007/s00268-001-0245-7. Epub 2002 Jan 21.