Yehouenou Tessi Romeo Thierry, El Haddad Siham, Oze Koudouhonon Rita, Mohamed Traore Wend-Yam, Dinga Ekadza Jusly Amour, Allali Nazik, Chat Latifa
Department of Radiology, Ibn Sina Paediatric Teaching Hospital,Mohammed V University, Rabat, Morocco.
Surgery department, Ibn Sina Paediatric teaching hospital, Mohammed V University- Rabat-Morocco.
Glob Pediatr Health. 2021 Nov 24;8:2333794X211059110. doi: 10.1177/2333794X211059110. eCollection 2021.
Acute intestinal intussusception remains a surgical emergency in infants and young children aged 3 months to 3 years. It results from the incarceration of the upstream intestinal segment in the downstream segment. In the majority of cases it is idiopathic, but can be secondary to certain pathologies notably Meckel's diverticulum. The site is most often ileo cecal. The symptomatological triad is made up of pain, vomiting, and rectal bleeding. The diagnosis is confirmed by imaging, dominated by ultrasound which remains the reference imaging. We report the case of a 3 year-old boy, followed for a malformation who presented with abdominal distension, abdominal pain, and rectal bleeding. The diagnosis of acute ileo-ileal intussusception was made. After an attempt at hydrostatic reduction under ultrasound guidance, he underwent surgical management. The postoperative period was simple and uncomplicated. Intestinal intussusception remains a pathology with a low morbidity and mortality rate of 0% to 1% due to delayed diagnosis and delayed therapeutic management.
急性肠套叠仍是3个月至3岁婴幼儿的外科急症。它是由上游肠段套入下游肠段所致。大多数情况下为特发性，但也可能继发于某些病变，尤其是梅克尔憩室。发病部位最常见于回盲部。症状三联征包括疼痛、呕吐和直肠出血。诊断通过影像学检查确诊，其中超声检查占主导地位，仍是参考影像学方法。我们报告了一例3岁男孩的病例，该男孩因畸形接受随访，出现腹胀、腹痛和直肠出血。诊断为急性回肠-回肠套叠。在超声引导下尝试进行水压复位后，他接受了手术治疗。术后恢复顺利，无并发症。由于诊断延迟和治疗管理延误，肠套叠仍是一种发病率和死亡率较低（0%至1%）的疾病。
