Chang M L, Cheung W, Ling Y K, Chiu W W
Department of Pediatrics, Nan-Men General Hospital, Hsin-Chu, Taiwan, R.O.C.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1994 Jul-Aug;35(4):335-40.
Chronic intussusception is defined as intussusception lasting for 14 days or more. Because the clinical manifestation is different from that of acute intussusception, the diagnosis is usually delayed or missed. Ultrasonography is of diagnostic value. We present a 8-year-old boy who had the complaints of marked body weight loss and intermittent abdominal pain for one month. Hydrostatic reduction failed in this case. Laparotomy revealed an ileo-colic intussusception, the leading point of which was a colonic polyp. We would like to emphasize that chronic intussusception frequently appears a nonacute abdominal condition, usually intermittent abdominal pain, and sometimes marked body weight loss and an abdominal mass. Surgical intervention is usually needed in older children because a high incidence of underlying lesions in them.
慢性肠套叠被定义为持续14天或更长时间的肠套叠。由于其临床表现与急性肠套叠不同，诊断通常会延迟或漏诊。超声检查具有诊断价值。我们报告一名8岁男孩，他有体重明显减轻和间歇性腹痛1个月的主诉。该病例水压复位失败。剖腹探查发现回结肠套叠，其套入点为结肠息肉。我们想强调的是，慢性肠套叠常表现为非急性腹部病症，通常是间歇性腹痛，有时是体重明显减轻和腹部肿块。大龄儿童通常需要手术干预，因为他们潜在病变的发生率较高。
