Molina E, Hidalgo F, Fernández S, Casanova A, Martín Sanz L
An Esp Pediatr. 1984 Dec;21(9):847-51.
Three cases of segmental dilatation of ileum surgically are presented. Authors have reviewed medical literature since the first case reported in 1959, and have been able to collect 33 cases. Although it is considered an identical entity involving either colon or small bowel, clinical picture and age of presentation are different. Cases involving the colon have a clinical picture very similar to that of Hirschsprung's disease, usually appearing in the lactancy or later on. Cases involving ileum or jejunum usually are manifested as a neonatal bowel obstruction. Pathological examination shows a bowel wall with all his layers as well as a normal ganglion cells. Surgical resection of dilated intestinal segment is curative.
本文报告了3例手术治疗的回肠节段性扩张病例。作者回顾了自1959年首例报道以来的医学文献，共收集到33例病例。虽然它被认为是一种涉及结肠或小肠的相同病症，但临床表现和发病年龄有所不同。累及结肠的病例临床表现与先天性巨结肠非常相似，通常在哺乳期或更晚出现。累及回肠或空肠的病例通常表现为新生儿肠梗阻。病理检查显示肠壁各层及神经节细胞均正常。手术切除扩张的肠段可治愈。
