Gilad E, Paret G, Katz M, Vardi A, Kennet G, Barzilay Z
Division of Pediatrics, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Med Pediatr Oncol. 1995 Dec;25(6):470-2. doi: 10.1002/mpo.2950250609.
Gastrointestinal perforation is a surgical emergency in the pediatric patient and any delay in diagnosis might be hazardous. In immunocompromised children, the clinical signs of perforation may be blunted. We describe a child with acute lymphoblastic leukemia (ALL) and a perforated appendix and ileum in whom computerized tomography (CT) revealed extraluminal air that was not initially identified on plain abdominal film. Our case demonstrates the importance of early abdominal CT and ultrasound examination in detecting these potentially lethal complications.
胃肠道穿孔对于儿科患者来说是一种外科急症，诊断上的任何延误都可能是危险的。在免疫功能低下的儿童中，穿孔的临床体征可能不明显。我们描述了一名患有急性淋巴细胞白血病（ALL）且阑尾和回肠穿孔的儿童，计算机断层扫描（CT）显示存在腹腔外气体，而在腹部平片上最初并未发现。我们的病例证明了早期腹部CT和超声检查在检测这些潜在致命并发症方面的重要性。
