Mushtaq Nida, Elwood Elliot, Westwood Esther, Macdonald Alexander, Saxena Amulya K, Bretherton Josephine
Department of Radiology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Department of Paediatric Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
BJR Case Rep. 2021 Oct 28;8(1):20210127. doi: 10.1259/bjrcr.20210127. eCollection 2022 Jan 1.
Acute intestinal obstruction is a common paediatric surgical emergency and should be considered in any child presenting with vomiting, abdominal pain and abdominal distension. Many causes of bowel obstruction arise from congenital anomalies and recognition of the underlying cause of obstruction can be challenging in these settings. These cases can be further complicated if two or more congenital anomalies are present. Malrotation of the gut is defined as a congenital developmental anomaly of the rotation of the intestine and encompasses a spectrum of abnormalities. Meckel's diverticulum is another congenital anomaly which occurs secondary to the failure of the vitellointestinal duct to close and can present in 2% of the population. We describe an interesting case of a 19-month-oldboy who presented acutely with symptoms of bowel obstruction and was found to have both intestinal malrotation and Meckel's diverticulum.
急性肠梗阻是常见的小儿外科急症，任何出现呕吐、腹痛和腹胀的儿童都应考虑此病。许多肠梗阻病因源于先天性异常，在这些情况下识别梗阻的潜在病因可能具有挑战性。如果存在两种或更多种先天性异常，这些病例会进一步复杂化。肠道旋转不良被定义为肠道旋转的先天性发育异常，涵盖一系列异常情况。梅克尔憩室是另一种先天性异常，继发于卵黄管未闭合，在2%的人群中会出现。我们描述了一例有趣的病例，一名19个月大的男孩急性出现肠梗阻症状，结果发现同时患有肠道旋转不良和梅克尔憩室。
