頁籤選單縮合
題 名 | Neonatal Ileoileocolic Intussusception Associated with Ileal Polyp: Report of One Case=新生兒迴腸-迴腸-結腸型腸套疊合併迴腸息肉:一病例報告 |
---|---|
作 者 | 陳如儀; 林瑞瑩; 趙舜卿; 江文山; 薛純; 駱至誠; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷 期 | 39:3 民87.05-06 |
頁 次 | 頁203-205+215 |
分類號 | 417.517 |
關鍵詞 | 迴腸-迴腸-結腸型腸套疊; 迴腸息肉; Neonatal intussusception; Ileoileocolic type; Ileal polyp; |
語 文 | 英文(English) |
中文摘要 | 新生兒腸套疊是一種罕見的疾病。我們提報一位 26 天大女嬰因迴腸息肉而導致 迴腸 - 迴腸 - 結腸型腸套疊。她的臨床表徵為哭鬧不安,膽汁性嘔吐及血便。理學檢查中 ,在左腹部,摸到可移動的腫瘤。腹部超音波檢查展示一長段腸套疊,並合併有一低回音性 腫瘤。 剖腹探查發現長段迴腸 -- 迴腸 - 結腸型腸套疊,且腸套疊內層有迴腸腫瘤。病理 報告證實為迴腸息肉。由於新生兒腸套疊以腸阻塞為最初的臨床表徵,所以應該和其它腸阻 塞例如腸閉鎖、壞死性腸炎、腸扭結做區分。此篇論文目的在強調新生兒腸套疊需列入新生 兒腸阻塞之鑑別診斷,同時迴腸息肉可為新生兒腸套疊之導因。 |
英文摘要 | Neonatal intussusception is an uncommon disease. We report a case of neonatal ileoileocolic intussusception led by an ileal polyp in a female neonate. The patient presented with irritable crying, bilious vomiting and frank bloody stool on the 26th day of life. On physical examination, a mobile abdominal mass was palpated. Abdominal sonography demonstrated a long segment intussusception associated with a low echogenic mass. At laparotomy, ileoileocolic intussusception led by an ileal polyp was found. Pathology confirmed the diagnosis of polyp. Because intestinal obstruction is the primary manifestation, neonatal intussusception is initially indistinguishable form obstructions due to other reasons like intestinal atresia, congenital bands, necrotizing enterocolitis or midgut volvulus. Our experience showed that although uncommon, intussusception should be considered in the differential diagnosis of intestinal obstruction during the newborn period. |
本系統中英文摘要資訊取自各篇刊載內容。