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一例空肠闭锁合并异位胰腺和梅克尔憩室的病例。

A Case of Jejunal Atresia Associated With Heterotrophic Pancreas and Meckel's Diverticulum.

作者信息

Aravind Kumar Chava, Mahakalkar Chandrashekhar

机构信息

General Surgery, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2022 Dec 21;14(12):e32766. doi: 10.7759/cureus.32766. eCollection 2022 Dec.

DOI:10.7759/cureus.32766
PMID:36694481
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9858787/
Abstract

Apart from meconium ileus, amniotic fluid plug syndrome, malrotation of the gut, Hirschprung's disorder, trauma, and other rare causes, bowel atresia is one of the most common causes of bowel obstruction in newborns. Jejunal atresia can affect multiple lengths of the bowel. The higher the level of atresia, the greater the severity. The outcome of bowel atresia related to surgical repair is favorable. In general, both mortality and morbidity are affected by affiliated medical conditions such as preterm birth, cystic fibrosis, and other congenital anomalies; the sophistication of the lesion; and surgical complications. We present the case of a one-day-old baby who had two episodes of bilious vomiting with abdominal distension within 10 minutes of birth. The baby was advised to undergo ultrasonography of the abdomen and pelvis for further evaluation, and the findings were reported.

摘要

除胎粪性肠梗阻、羊水栓塞综合征、肠道旋转不良、先天性巨结肠、创伤及其他罕见病因外,肠闭锁是新生儿肠梗阻最常见的病因之一。空肠闭锁可累及肠管的多个节段。闭锁位置越高,病情越严重。与手术修复相关的肠闭锁预后良好。一般来说,死亡率和发病率受早产、囊性纤维化及其他先天性异常等相关医疗状况、病变的复杂程度以及手术并发症的影响。我们报告一例1日龄婴儿,出生后10分钟内出现两次伴有腹胀的胆汁性呕吐。建议该婴儿接受腹部和盆腔超声检查以进一步评估,并报告了检查结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093f/9858787/f85aa81a17c8/cureus-0014-00000032766-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093f/9858787/37030b751f2f/cureus-0014-00000032766-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093f/9858787/947514911021/cureus-0014-00000032766-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093f/9858787/f85aa81a17c8/cureus-0014-00000032766-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093f/9858787/37030b751f2f/cureus-0014-00000032766-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093f/9858787/947514911021/cureus-0014-00000032766-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/093f/9858787/f85aa81a17c8/cureus-0014-00000032766-i03.jpg

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本文引用的文献

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Jejunoileal Atresia: A National Cohort Study.空肠闭锁:一项全国队列研究。
Front Pediatr. 2021 May 31;9:665022. doi: 10.3389/fped.2021.665022. eCollection 2021.
2
Is the Bishop-Koop procedure useful in severe jejunoileal atresia?毕晓普-库普手术对严重空肠回肠闭锁有用吗?
J Pediatr Surg. 2018 Oct;53(10):1914-1917. doi: 10.1016/j.jpedsurg.2018.03.027. Epub 2018 Apr 5.
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A newborn patient with both annular pancreas and Meckel's diverticulum: A case report of an unusual association.一名患有环状胰腺和梅克尔憩室的新生儿患者:罕见关联的病例报告
Medicine (Baltimore). 2018 Apr;97(17):e0583. doi: 10.1097/MD.0000000000010583.
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Meckel's diverticulum perforation by a fish bone: A case report.鱼骨致梅克尔憩室穿孔:一例报告
Int J Surg Case Rep. 2016;28:237-240. doi: 10.1016/j.ijscr.2016.08.026. Epub 2016 Sep 7.
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Pancreatitis of ectopic pancreatic tissue: a rare cause of gastric outlet obstruction.异位胰腺组织性胰腺炎:胃出口梗阻的罕见病因
Gastroenterol Rep (Oxf). 2017 Aug;5(3):237-240. doi: 10.1093/gastro/gov037. Epub 2015 Jul 29.
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Outcome of jejuno-ileal atresia associated with intraoperative finding of volvulus of small bowel.空肠回肠闭锁合并术中发现小肠扭转的结局
J Neonatal Surg. 2012 Jul 1;1(3):37. eCollection 2012 Jul-Sep.
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Jejunoileal Atresia: Factors Affecting the Outcome and Long-term Sequelae.空肠闭锁:影响预后及远期后遗症的因素
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Management of jejunoileal atresias: an experience at eastern Nepal.空肠回肠闭锁的治疗:尼泊尔东部的经验
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