【摘要】：正患者男性,26歲,因右下腹部疼痛5天伴惡心、嘔吐入院�；颊哂�5天前無明顯誘因下出現(xiàn)腹部疼痛,伴惡心、嘔吐,體檢:全腹壓痛,輕度反跳痛,叩診明顯鼓音。電子腸鏡示結(jié)腸肝曲可見一結(jié)節(jié)狀不規(guī)則環(huán)形腫物,管腔狹窄,質(zhì)硬脆,易出血,腸鏡不能通過,CT示腸腔內(nèi)可見腸系膜、腸管影,呈"環(huán)靶征"(圖1),考慮為腸套疊(回-回型)。術(shù)中所見:結(jié)腸肝曲至膀胱上方回腸可見一巨大腸袢,長約40 cm,兩端可見腸管及腸系膜套疊進(jìn)去,套疊腸管最外層腸管血運
[Abstract]:A 26-year-old man was admitted to hospital with nausea and vomiting for 5 days with pain in his right lower abdomen. The patient appeared abdominal pain without obvious inducement 5 days ago, accompanied by nausea, vomiting, physical examination: total abdominal tenderness, mild rebound pain, percussion obvious drum sound. Electron colonoscopy showed a nodular irregular circular mass of liver, narrow lumen, hard and brittle, easy to bleed, unable to pass through the colonoscopy, CT showed mesentery, intestinal shadow, showing "ring target sign" (Fig. 1). Consider intussusception (gyrus-gyrus). Intraoperative findings: a giant intestinal loop can be seen in the ileum of the upper ileum from the hepatic curvature of the colon to the upper part of the bladder. About 40 cm, long, the intussusception and mesenteric intussusception can be seen at both ends of the colon.
【作者單位】： 南京軍區(qū)福州總醫(yī)院病理科;福建省南平市第一醫(yī)院病理科;
【分類號】：R574
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本文編號：2368110