L Ihnát Rudinská, I Slívová, P Ihnát
Soud Lek. 2025;70(2):10-12.
This case report describes a case of fatal intestinal obstruction in a 4-year-old girl caused by malrotation and internal hernia, which led to distortion and necrosis of the small intestine. Although resuscitation was immediately initiated, multiorgan failure and death occurred within hours of the onset of the first symptoms. Autopsy revealed extensive ischemic changes in the small intestine and a congenital mesocolon defect as the cause of the internal hernia. This case highlights the critical importance of considering internal hernias in the differential diagnosis of acute abdomen in pediatric patients and emphasizes the need for prompt surgical intervention. Early recognition and treatment are essential to prevent catastrophic consequences in these rare but life-threatening conditions.
本病例报告描述了一名4岁女童因肠旋转不良和内疝导致致命性肠梗阻，进而引起小肠扭曲和坏死的病例。尽管立即进行了复苏，但在出现首发症状数小时内即发生多器官功能衰竭并死亡。尸检显示小肠广泛缺血性改变以及先天性结肠系膜缺损是内疝的病因。本病例突出了在小儿患者急腹症鉴别诊断中考虑内疝的至关重要性，并强调了及时进行手术干预的必要性。早期识别和治疗对于预防这些罕见但危及生命的疾病的灾难性后果至关重要。
