Metaizeau J P, Prévot J, Schmitt M, Bretagne M C
J Pediatr Surg. 1980 Apr;15(2):193-4. doi: 10.1016/s0022-3468(80)80017-0.
An exceptional cause of intestinal obstruction is reported. Ileus is an 8-yr-old boy persisted for 9 days after successful reduction of an axial dislocation of L1 on L2. At laparotomy, a paraduodenal hernia with bowel strangulated between the bodies of L1 and L2 was discovered. The successful treatment consisted of cleaning out the intervertebral space, resection of the necrotic bowel with anastomosis, antibiotic therapy, and a plaster jacket worn for 3 mo.
报道了一例肠梗阻的罕见病因。肠梗阻患者是一名8岁男孩,L1与L2椎体轴向脱位成功复位后肠梗阻持续了9天。剖腹探查时,发现十二指肠旁疝,肠管在L1和L2椎体之间被绞窄。成功的治疗包括清理椎间隙、切除坏死肠段并进行吻合、抗生素治疗,以及佩戴石膏背心3个月。