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梅克尔憩室所致小儿回肠-回肠套叠的关键手术干预:一例报告

Pivotal Surgical Intervention for Pediatric Ileoileal Intussusception With Meckel's Diverticulum: A Case Report.

作者信息

Surya Dheeraj, Gharde Pankaj, Reddy Kavyanjali, Shinde Raju K, Tayade Harshal, Patil Mihir

机构信息

General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.

出版信息

Cureus. 2024 May 10;16(5):e60073. doi: 10.7759/cureus.60073. eCollection 2024 May.

Abstract

The most prevalent congenital gastrointestinal tract abnormality is Meckel's diverticulum. It is discovered in most instances incidentally. It can be observed as painless bleeding in the gastrointestinal tract. However, it can occasionally result in acute intestinal obstruction, which frequently masks the actual clinical presentation. This is a case of a four-and-a-half-year-old male child who presented with features of obstruction, which, on further evaluation, revealed ileoileal intussusception. An emergency surgical intervention was planned with an exploratory laparotomy and a reduction of intussusception. This case emphasizes the urgency of diagnosing and managing intussusception to prevent serious consequences such as bowel ischemia, bowel necrosis, bowel perforation, peritonitis, and sepsis. It stands as a stark reminder for medical professionals to stay vigilant for these critical gastrointestinal emergencies, and immediate treatment with a multidisciplinary approach is recommended to significantly enhance patient outcomes.

摘要

最常见的先天性胃肠道异常是梅克尔憩室。大多数情况下它是偶然发现的。它可表现为胃肠道无痛性出血。然而,它偶尔会导致急性肠梗阻,这常常掩盖实际的临床表现。这是一例4岁半男童,表现出梗阻特征,进一步评估发现为回肠套叠。计划进行急诊手术干预,行剖腹探查术并复位套叠。该病例强调了诊断和处理套叠以防止诸如肠缺血、肠坏死、肠穿孔、腹膜炎和败血症等严重后果的紧迫性。这强烈提醒医学专业人员对这些严重的胃肠道急症保持警惕,建议采用多学科方法进行立即治疗以显著改善患者预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9c0/11163870/9df16105563b/cureus-0016-00000060073-i01.jpg

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