Carr J B, Luft F C, Hamburger R J, Kleit S A
Arch Surg. 1976 Aug;111(8):866. doi: 10.1001/archsurg.1976.01360260034007.
Spontaneous intussusception in adults is rare. Recently, we managed two patients with chronic uremia in whom intussusception developed. Histologic examination of the resected segments showed intestinal intramural hemorrhage. We postulate that the coagulopathy associated with uremia may allow for intestinal intramural hemorrhage, thus forming a nidus from which intussusception may be initiated.
成人自发性肠套叠很少见。最近,我们诊治了两名发生肠套叠的慢性尿毒症患者。对切除肠段的组织学检查显示肠壁内出血。我们推测,与尿毒症相关的凝血病可能导致肠壁内出血,从而形成一个可能引发肠套叠的病灶。