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导致肠套叠的肠闭锁:一篇非常规投稿。

Intestinal Atresia Leading to Intussusception: An Unconventional Submission.

作者信息

Alam Mohammad Shahbaz, Elghote Salah Eidin, Kamel Sherif Mohamed Mosad, Kumar Chanchal, Shedabale Dhiraj Sidagonda

机构信息

Neonatology, Zulekha Hospital, Dubai, ARE.

Pediatric Surgery, Zuelkha Hospital, Dubai, ARE.

出版信息

Cureus. 2024 Sep 19;16(9):e69723. doi: 10.7759/cureus.69723. eCollection 2024 Sep.

Abstract

Intestinal atresia is often considered a sequela of the intrauterine vascular accident, frequently reported as intrauterine intussusception as the primary pathophysiology. We are reporting a case of a full-term newborn diagnosed to have ileal atresia secondary to some vascular accident that occurred late in the pregnancy leading to ileocolic intussusception. This case will substantiate a different perspective of the previous understanding of the condition and allow the readers to further acknowledge how the type 3A variety of intestinal atresia allows the distal segment to telescope, causing intussusception. Keeping a high index of suspicion and emergency laparotomy in such conditions, with an expert surgical approach proved to play the most vital step in the survival and outstanding recovery of a delicate life.

摘要

肠闭锁常被认为是子宫内血管意外的后遗症,通常报道为子宫内肠套叠是主要病理生理学原因。我们报告一例足月新生儿,诊断为因妊娠晚期发生的某些血管意外继发回肠闭锁,导致回结肠套叠。该病例将证实对该病症先前认识的不同观点,并让读者进一步认识到3A型肠闭锁如何使远端肠段套入,导致肠套叠。在这种情况下保持高度怀疑并进行急诊剖腹手术,采用专业的手术方法被证明是挽救这条脆弱生命并使其出色康复的至关重要的一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3984/11490258/d171e5cb2e7c/cureus-0016-00000069723-i01.jpg

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