Department of Emergency Medicine, Indus Hospital and Health Network, Karachi, Pakistan.
J Pak Med Assoc. 2023 Jul;73(7):1524-1526. doi: 10.47391/JPMA.6762.
Intussusception is the introversion of the proximal intestinal loop into the distal downstream part of the intestinal loop, leading to gut wall oedema and restriction of blood supply. A high index of suspicion is required to diagnose it timely. Mostly infants aged less than a year are vulnerable to this surgical emergency presenting mostly with abdominal distension, vomiting, reluctance to feed and bright red jelly-like stools which, if left unrecognised, may result in the development of ischaemic portion of the gut and catastrophic outcomes. We present the case of a 60-day-old baby who presented in the Paediatric Emergency Department with progressive abdominal distension and bloody stools. Abdominal X-ray showed dilated bowel and ultrasound imaging showed a target sign positive for intussusception. The baby was rushed to the operating room (OR) due to delayed presentation, where an uneventful exploratory laparotomy was performed. Acute intestinal intussusception remains a cause of low morbidity and mortality rates if recognised earlier.
肠套叠是指近端肠环套入远端下游肠段，导致肠壁水肿和血液供应受限。及时诊断需要高度怀疑。大多数易患这种外科急症的婴儿年龄小于 1 岁，主要表现为腹胀、呕吐、不愿进食和鲜红色果冻样粪便，如果未被识别，可能导致肠道缺血部分和灾难性结果。我们介绍了一例 60 天大的婴儿，他因进行性腹胀和血便到儿科急诊就诊。腹部 X 光片显示肠腔扩张，超声成像显示靶征阳性提示肠套叠。由于延迟就诊，婴儿被紧急送往手术室，进行了顺利的剖腹探查术。如果早期发现，急性肠套叠仍然是一种发病率和死亡率低的疾病。
