Trifonov G, Mikhova M, Khristozova I, Dumanov K
Khirurgiia (Sofiia). 1996;49(3):33-6.
Observations on one of the rare complications in children presenting malignant neoplasms of the abdominal cavity and retroperitoneal space are described. Over a 7-year period, operative treatment is undertaken in 42 children aged 3 to 15 years. In eleven of them (26.42 per cent) it is a matter of mechanical ileus. The type of bowel obstruction in the series of children under study is a follows: obturation-in three and adhesion-in five cases. The obturation involves the large intestine, and is due to pressure of a neoplastic process in advanced stage of development on the colon. Ileus due to adhesions occurs after operative removal of the neoplastic formation. The essential differences in type of intestinal obstruction in children with malignant neoformation in the abdominal region from the one in adult patients justify the report on the observations.
本文描述了对患有腹腔和腹膜后间隙恶性肿瘤的儿童罕见并发症之一的观察结果。在7年的时间里,对42名3至15岁的儿童进行了手术治疗。其中11名(26.42%)患有机械性肠梗阻。在该系列研究的儿童中,肠梗阻的类型如下:闭塞性肠梗阻3例,粘连性肠梗阻5例。闭塞性肠梗阻累及大肠,是由于肿瘤发展到晚期对结肠的压迫所致。粘连性肠梗阻发生在肿瘤切除术后。腹部恶性肿瘤患儿的肠梗阻类型与成人患者的肠梗阻类型存在本质差异,这证明了这些观察结果的报告是合理的。