Carmon M, Krauss M, Aufses A H, Katz L B
Department of General Surgery, Mount Sinai Hospital, New York, NY.
J Pediatr Surg. 1994 Dec;29(12):1613-5. doi: 10.1016/0022-3468(94)90238-0.
The authors report on two adults who had jejunal dilatation after having had resection for jejunal atresia in the neonatal period. Both patients presented 20 years after the initial procedure, with severe iron deficiency anemia, marked jejunal dilatation proximal to the old anastomotic site (which was not narrowed), and a bezoar within the dilated segment. Upper gastrointestinal series were used to evaluate both patients before surgical resection of the enlarged intestine, with subsequent correction of the anemia.
作者报告了两名成年人,他们在新生儿期因空肠闭锁接受切除术后出现了空肠扩张。两名患者均在初次手术后20年出现,伴有严重缺铁性贫血,在旧吻合口近端(未狭窄)有明显的空肠扩张,且扩张段内有一个胃石。在对扩大的肠段进行手术切除并随后纠正贫血之前,使用上消化道造影对两名患者进行了评估。