頁籤選單縮合
題 名 | Duplication of Transverse Colon: Report of One Case=雙套橫結腸症:一病例報告 |
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作 者 | 徐啟峰; 黃福辰; 高常發; 謝志松; 林正琴; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷 期 | 44:1 民92.01-02 |
頁 次 | 頁47-49 |
分類號 | 417.5478 |
關鍵詞 | 雙套橫結腸症; Duplication of transverse colon; Megacolon; Post-evacuation film; |
語 文 | 英文(English) |
中文摘要 | 大家都知道消化道複製症的發生率很少,文獻上報導在活産兒約五千分之一,而位於橫結腸複製症的病例更稀少。臨床症候依位置不同有不同的表現,診斷上常常在手術後才診斷出來。我們報導一位12歲的男孩以巨大且疼痛的腹部腫塊及便秘的臨床表現來求診,影像學像巨結腸症,後來被診斷罹患有橫結腸複製症。而在術前下消化道攝影排泄後的照片顯現一個充滿鋇劑的囊腫,表示囊腫與消化道有交通。術前診斷爲結腸複製症或腸憩室,術後及病理報告證實橫結腸複製症。在此我們强調,消化道攝影排泄後的照片可以幫助在術前診斷下消化道的複製症。 |
英文摘要 | Alimentary tract duplications are very rare, with a reported incidence of 1 in 5000 live births. However, it rarely affects the transverse colon. We reported a case of duplication of the transverse colon in a 12-year-old boy with an unusual presentation mimicking megacolon. Barium enema revealed a large sac with massive fecal material retention in the left side of abdomen. Barium filling of the sac displacing bowel loops was noted on the post-evacuation film. He received a segmental resection of the transverse colon including the duplicated colon and end-to-end cob-colostomy. Pathology revealed whole muscle layer of colon compatible with duplication. No other associated anomaly was noted in this case. The case demonstrates three relatively uncommon presentations, including transeverse colon location, late manifestation and dilated colon mimicking megacolon radiologically. It also emphasizes that barium enema with post-evacuation film aids in the preoperative diagnosis of duplication. |
本系統中英文摘要資訊取自各篇刊載內容。