Yang Ning
Ning Yang, Department of General Surgery, The First Affiliated Hospital, Hebei Medical University, Shijiazhuang 050030, Hebei, China.
Pak J Med Sci. 2024 Oct;40(9):2152-2155. doi: 10.12669/pjms.40.9.8777.
We report a case of incomplete intestinal obstruction in a 29-year-old adult male with Down syndrome in The First Affiliated Hospital, Hebei Medical University from January 2023 to July 2023 the patient had been experiencing intermittent abdominal distension and reduced bowel movements and gas for a period of two years. Physical examination revealed tenderness in the left lower abdomen. Abdominal CT and gastrointestinal imaging showed intestinal and colonic distension, while colonoscopy did not show any abnormalities. During laparoscopic exploration, adhesions were observed between the greater omentum and the left lower abdominal wall, resulting in dilation of the proximal colon. After the adhesions were released, intestinal contents were able to pass through the distal segment, relieving the obstruction. The patient had no history of trauma or surgery. This case highlights a potential association between Down syndrome and congenital abdominal adhesions that can lead to intestinal obstruction. Due to the communication difficulties in patients with Down syndrome, there is a potential for misdiagnosis, emphasizing the importance of awareness. Laparoscopic examination not only aids in the diagnosis but also offers therapeutic benefits in such cases.
我们报告了一例2023年1月至2023年7月在河北医科大学第一附属医院就诊的29岁成年男性唐氏综合征患者不完全性肠梗阻病例。该患者两年来一直间歇性出现腹胀、排便和排气减少。体格检查发现左下腹压痛。腹部CT和胃肠道造影显示肠道和结肠扩张，而结肠镜检查未发现任何异常。在腹腔镜探查中，发现大网膜与左下腹壁之间存在粘连，导致近端结肠扩张。粘连松解后，肠内容物能够通过远端肠段，梗阻得以缓解。患者无外伤或手术史。该病例突出了唐氏综合征与可导致肠梗阻的先天性腹部粘连之间的潜在关联。由于唐氏综合征患者存在沟通困难，存在误诊的可能性，这凸显了提高认识 的重要性。腹腔镜检查不仅有助于诊断，在此类病例中还具有治疗作用。
