Zhang Jinshan,Li Long.Complete defect of mesentery with intestinal obstruction:a report of one rare case[J].Journal of Clinical Pediatric Surgery,2024,(10):986-987.[doi:10.3760/cma.j.cn101785-202204015-016]
先天性肠系膜完全缺如伴肠梗阻1例
- Title:
- Complete defect of mesentery with intestinal obstruction:a report of one rare case
- 摘要:
- 先天性肠系膜完全缺如是一种罕见畸形, 发病率不详, 文献报道极少, 可导致肠袢穿入肠系膜缺损处引发腹内疝。本文报道了首都儿科研究所普通(新生儿)外科收治的1例罕见先天性肠系膜完全缺如伴肠梗阻患儿, 该病例从肠系膜根部至升结肠完全缺如, 同时其肠系膜血管与小肠交叉走行, 引发肠系膜血管卡压小肠导致肠梗阻;手术将回肠末端切断后在肠系膜血管前方吻合, 解除肠梗阻, 同时关闭肠系膜缺如, 以预防肠系膜裂孔疝发生。
参考文献/References:
[1] Garignon C, Paparel P, Liloku R, et al.Mesenteric hernia:a rare cause of intestinal obstruction in children[J].J Pediatr Surg, 2002, 37(10):1493-1494.DOI:10.1053/jpsu.2002.35429.
[2] Sharma BD, Bhargawa KS, Galviya UD.Transmesenteric hernia[J].Arch Surg, 1968, 96(2):306-308.DOI:10.1001/archsurg.1968.01330200144030.
[3] Annigeri VM, Mahajan JK, Rao KLN.Etiological spectrum of acute intestinal obstruction[J].Indian Pediatr, 2009, 46(12):1102-1103.
[4] Adesola AO.Intestinal obstruction in Africa-a challenge[J].West Afr Med J Niger Pract, 1968, 17(6):185-187.
[5] Baiu I, Hawn MT.Small bowel obstruction[J].JAMA, 2018, 319(20):2146.DOI:10.1001/jama.2018.5834.
[6] Mucha PJr.Small intestinal obstruction[J].Surg Clin North Am, 1987, 67(3):597-620.DOI:10.1016/s0039-6109(16)44234-9.
[7] Olumide F, Adedeji A, Adesika AO.Intestinal obstruction in Nigerian children[J].J Pediatr Surg, 1976, 11(2):195-204.DOI:10.1016/0022-3468(76)90287-6.
[8] Berrocal T, Lamas M, Gutieérrez J, et al.Congenital anomalies of the small intestine, colon, and rectum[J].Radiographics, 1999, 19(5):1219-1236.DOI:10.1148/radiographics.19.5.g99se041219.
[9] Ming YC, Chao HC, Luo CC.Congenital mesenteric hernia causing intestinal obstruction in children[J].Eur J Pediatr, 2007, 166(10):1045-1047.DOI:10.1007/s00431-006-0377-8.
[10] Newsom BD, Kukora JS.Congenital and acquired internal hernias:unusual causes of small bowel obstruction[J].Am J Surg, 1986, 152(3):279-285.DOI:10.1016/0002-9610(86)90258-8.
[11] Janin Y, Stone AM, Wise L.Mesenteric hernia[J].Surg Gynecol Obstet, 1980, 150(5):747-754.
相似文献/References:
[1]张生 金先庆 李晓庆 周德凯 向丽 刘伟. 先天性肠闭锁、肠狭窄120例临床分析[J].临床小儿外科杂志,2011,10(04):273.
[J].Journal of Clinical Pediatric Surgery,2011,10(10):273.
[2]龙雪峰 李强辉 向波 陈小勋 周维模 郭鹏. 腹腔镜手术在小儿急性粪石性小肠梗阻[J].临床小儿外科杂志,2011,10(06):440.
[J].Journal of Clinical Pediatric Surgery,2011,10(10):440.
[3]陈盛,严志龙,梅董昱,等. 极低出生体重儿动力性肠梗阻的外科干预指征与治疗策略研究[J].临床小儿外科杂志,2018,17(05):349.
Chen Sheng,Yan Zhilong,Mei Dongyu,et al.Surgical treatments for verylowbirthweight infants with dynamic intestinal obstruction.[J].Journal of Clinical Pediatric Surgery,2018,17(10):349.
[4]唐华建,郑锦涛,李伟燎,等.V 型瓣菱形吻合法治疗新生儿环状胰腺的临床研究[J].临床小儿外科杂志,2018,17(07):542.
Tang Huajian,Zheng Jintao,Li Weiliao,et al.Efficacies of modified diamondshaped anastomosis for neonatal annular pancreas.[J].Journal of Clinical Pediatric Surgery,2018,17(10):542.
[5]单禹华,顾松,徐敏,等.小儿肝移植术后肠梗阻病因鉴别及预后分析[J].临床小儿外科杂志,2021,20(06):576.[doi:10.12260/lcxewkzz.2021.06.013]
Shan Yuhua,Gu Song,Xu Min,et al.Differentiation and prognosis of intestinal obstruction after pediatric liver transplantation[J].Journal of Clinical Pediatric Surgery,2021,20(10):576.[doi:10.12260/lcxewkzz.2021.06.013]
[6]林小燕,张恒,卓金伟,等.儿童Rapunzel综合征诊治分析[J].临床小儿外科杂志,2023,22(01):92.[doi:10.3760/cma.j.cn101785-202106053-018]
Lin Xiaoyan,Zhang Heng,Zhuo Jinwei,et al.Rapunzel syndrome in children: a report of 5 cases with a review of the literature[J].Journal of Clinical Pediatric Surgery,2023,22(10):92.[doi:10.3760/cma.j.cn101785-202106053-018]
备注/Memo
收稿日期:2022-4-6。
基金项目:国家自然科学基金(82170679);首都卫生发展科研专项(首发2024-2-2101)
通讯作者:张金山,Email:zjs851@163.com