頁籤選單縮合
題名 | Enteric Mucocele Formation after Endorectal Pull-through: Report of a Case=經直腸內腹會陰牽出術後併發腸黏液囊腫 |
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作者 | 許文明; 王偉; 陳秋江; Hsu, Wen-ming; Wang, Weu; Chen, Chiu-chiang; |
期刊 | 臺灣醫學會雜誌 |
出版日期 | 20000800 |
卷期 | 99:8 2000.08[民89.08] |
頁次 | 頁650-652 |
分類號 | 416.245 |
語文 | eng |
關鍵詞 | 經直腸內腹會陰牽出術; 腸黏液囊腫; Enteric mucocele; Endorectal pull-through; Hirschsprung's disease; Intestinal neuronal dysplasia; |
英文摘要 | We report a case of enteric mucocele formation in a 4-year-old boy after endorectal pull-through correction for Hirschsprung's disease with proximal intestinal neuronal dysplasia. On 17 April 1997, when the patient was 2 years old, a loop ileostomy was performed after an ineffective endorectal pull-through operation involving the right colon. Because of frequent prolapse of the stoma, when the child was two-and-a-half years old an end ileostomy was made by a resection of the distal ileotoma and redundant terminal ileum. When he was 4 years old, he was readmitted because of ileus, peritonitis, and a huge abdominal mass. Complete atresia of the colon at the level of pelvic reflection with proximal enteric mucocele formation was noted at laparotomy. He made an uneventful recovery after resection of the mucocele. This is the first reported case of such a complication after an endorectal pull-through operation. The possible causes and techniques for the prevention of this complication are discussed. |
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