Lambrecht W, Weinland G, Koch G, Gaedicke G
Chirurg. 1978 Jul;49(7):410-3.
A 12-year old boy with mucoviscidosis developed a mechanical obstruction of the small intestine. The diagnosis of a meconium ileus equivalent was made and a conservative treatment was started. After this treatment failed, a laparotomy was performed which verified the diagnosis of a meconium ileus equivalent. It was possible to move the inspissated feces inside the terminal ileum into the ascending colon. The postoperative course was uneventful. The etiology, differential diagnosis, and both conservative and operative treatment of this complication of the mucoviscidosis are discussed.
一名患有黏液黏稠症的12岁男孩出现了小肠机械性梗阻。诊断为胎粪性肠梗阻等效症,并开始进行保守治疗。该治疗失败后,进行了剖腹手术,证实了胎粪性肠梗阻等效症的诊断。将回肠末端内干结的粪便移入升结肠是可行的。术后过程顺利。讨论了黏液黏稠症这一并发症的病因、鉴别诊断以及保守和手术治疗方法。