Khoei Samin, Borhani Ali, Ghavamiadel Maryam, Zamani Fatemeh
Department of Radiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Department of General Surgery, Children Medical Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran.
Int J Surg Case Rep. 2021 Oct;87:106455. doi: 10.1016/j.ijscr.2021.106455. Epub 2021 Sep 28.
Intestinal webs which are categorized under type-1 intestinal atresia rarely occur in the jejunum. These webs are occasionally diagnosed late because their central fenestration allows the passage of food.
We report a toddler who presented with atypical symptoms of bowel obstruction and non-specific plain radiograph and ultrasound findings. The diagnosis of jejunal obstruction was made possible with contrast-enhanced computed tomography and obstruction was found to be the result of a jejunal web at the surgery.
Few cases of jejunal webs are reported in the literature. The jejunum is the site of only 8% of webs and 33% of jejunal webs are associated with other congenital anomalies and/or prematurity.
Jejunal web needs a high degree of suspicion to be diagnosed and should be kept in mind as a differential diagnosis in the setting of unexplained persistent non-bilious emesis in otherwise normal toddlers.
归类于1型肠闭锁的肠内系膜在空肠中很少见。这些系膜偶尔会因中央有小孔允许食物通过而诊断较晚。
我们报告一名幼儿，表现为肠梗阻的非典型症状以及非特异性的平片和超声检查结果。通过增强计算机断层扫描得以诊断为空肠梗阻，手术时发现梗阻是由空肠系膜所致。
文献中报道的空肠系膜病例很少。空肠仅占系膜病例的8%，且33%的空肠系膜与其他先天性异常和/或早产有关。
空肠系膜的诊断需要高度怀疑，在其他方面正常的幼儿出现不明原因的持续性非胆汁性呕吐时，应将其作为鉴别诊断予以考虑。
