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題 名 | Splenic Flexure Colonic Volvulus: A Pediatric Case Report=脾灣處大腸扭結--一個小兒病歷報告 |
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作 者 | 薛智中; 趙垂勳; 林釗佑; 陳漢文; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 23:4 2007.04[民96.04] |
頁 次 | 頁207-210 |
分類號 | 417.6244 |
關鍵詞 | 大腸; 脾灣處; 腸扭結; Colon; Splenic flexure; Volvulus; |
語 文 | 英文(English) |
中文摘要 | 在小兒病患的腸阻塞原因裏,大腸扭結是相當不常見的原因,而兒童的大腸扭結發生部位最少見的就是在脾灣處。我們報告一個患有腦性麻痺與癲癇的 21 月大男童發生脾灣處大腸扭結的病例。他在就診前 2 日開始有腹脹、嘔吐有膽汁而且都沒有排便。腹部 X 光檢查發現近端的大腸漲大且左上腹呈現 “咖啡豆徵象”。使用鋇劑灌腸發現在脾灣處有 “鳥嘴徵象”,符合脾灣處大腸扭結的表現。在剖腹手術時發現脾灣處大腸扭結已經矯正歸位。在術後 3 年的追蹤未發現有復發的現象。 |
英文摘要 | Volvulus of the colon is an unusual cause of intestinal obstruction in the pediatric population. Splenic flexure colonic volvulus is the most uncommon site in children. We report a case of splenic flexure volvulus (SFV) in a 21-month-old boy with underlying cerebral palsy and epilepsy. He experienced abdominal distension, bilious vomiting and absence of bowel movement for 2 days. Abdominal radiography showed a proximal distended colon and a “coffee bean sign” at the left upper quadrant. Barium enema revealed a “bird beak sign” at the splenic flexure, which confirmed the diagnosis of SFV. Detorsion of SFV occurred while undergoing exploratory laparotomy. He received regular follow-up in the subsequent 3 years without recurrence. |
本系統中英文摘要資訊取自各篇刊載內容。