#European Journal of Pediatric Surgery Reports# #儿科#
肾母细胞瘤(Wilms’tumor，WT)占所有小儿肾脏恶性肿瘤的90%。基于国家肾母细胞瘤研究，最常见的术后并发症是小肠梗阻。我们报告了1例2岁女孩在右肾切除术治疗WT后发生术后肠梗阻。该患者在术后48小时接受了再次干预，并发现了盲肠扭转。在此，作者描述了这种术后并发症的可能原因，并讨论了处理。免费阅读原文：Cecal Volvulus following a Right Nephrectomy for Wilms' Tumor: Should We Need to Close the Lateral Peritoneum? https://t.cn/A6G6BN0a
肾母细胞瘤(Wilms’tumor，WT)占所有小儿肾脏恶性肿瘤的90%。基于国家肾母细胞瘤研究，最常见的术后并发症是小肠梗阻。我们报告了1例2岁女孩在右肾切除术治疗WT后发生术后肠梗阻。该患者在术后48小时接受了再次干预，并发现了盲肠扭转。在此，作者描述了这种术后并发症的可能原因，并讨论了处理。免费阅读原文：Cecal Volvulus following a Right Nephrectomy for Wilms' Tumor: Should We Need to Close the Lateral Peritoneum? https://t.cn/A6G6BN0a
#科普# 【一段医学影像学：Cecal volvulus （盲肠扭转）】升结肠没有位于右腹膜后，过度移位至左上腹，提示肠扭转。常用的盲肠扭转从某种程度上来说并不准确，因为扭转点常位于回盲瓣之上。该疾病大约占成人小肠梗阻的1-3%，可引发急腹症。无症状的盲肠移位并不少见，盲肠扭转提示潜在的急症。约1/3的患者可在扭转处远端看到梗阻。
【Cecal volvulus 盲肠扭转】
When the ascending colon fails to be fixed to the retroperitoneum of the right abdomen, excessive mobility may occur which can allow for torsion and displacement of the ascending colon into the left upper quadrant. The term cecal volvulus is somewhat of a misnomer since the point of torsion is usually well above the ileocecal valve. This abnormality represents approximately 1 to 3% of cases of intestinal obstruction in adults and may occur as a sudden abdominal emergency. Mobility of the cecum is not uncommon in asymptomatic patients, which suggests that for torsion to occur there may be an underlying precipitating condition. In approximately one-third of cases there will be evidence of an obstruction distal to the torsion.
【Cecal volvulus 盲肠扭转】
When the ascending colon fails to be fixed to the retroperitoneum of the right abdomen, excessive mobility may occur which can allow for torsion and displacement of the ascending colon into the left upper quadrant. The term cecal volvulus is somewhat of a misnomer since the point of torsion is usually well above the ileocecal valve. This abnormality represents approximately 1 to 3% of cases of intestinal obstruction in adults and may occur as a sudden abdominal emergency. Mobility of the cecum is not uncommon in asymptomatic patients, which suggests that for torsion to occur there may be an underlying precipitating condition. In approximately one-third of cases there will be evidence of an obstruction distal to the torsion.
Ileo-cecal intussusception
Intussusception is a condition found primarily in the pediatric population. In the adult population, however, intussusception is usually due to a pathological process, with a higher risk of bowel obstruction, vascular compromise, inflammatory changes, ischemia, and necrosis. Radiographic and sonographic evidence can aid in the diagnosis. Surgical intervention involving resection of affected bowel is the standard of care in adult cases of intussusception.
#医学生Medic[超话]##medicaltalks##医生医事#
Intussusception is a condition found primarily in the pediatric population. In the adult population, however, intussusception is usually due to a pathological process, with a higher risk of bowel obstruction, vascular compromise, inflammatory changes, ischemia, and necrosis. Radiographic and sonographic evidence can aid in the diagnosis. Surgical intervention involving resection of affected bowel is the standard of care in adult cases of intussusception.
#医学生Medic[超话]##medicaltalks##医生医事#
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