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首页> 外文期刊>Surgical Endoscopy >Laparoscopic reduction of an ileoileal intussusception and resection of an inverted Meckel's diverticulum in an adult.
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Laparoscopic reduction of an ileoileal intussusception and resection of an inverted Meckel's diverticulum in an adult.

机译：腹腔镜减少成人的回肠套叠和切除Meckel憩室。

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摘要

Intussusception occurs commonly in children, but rarely is observed in adults. Whereas the hydrostatic pressure of a contrast enema often proves diagnostic as well as therapeutic in infants and children, resection usually is required for an underlying bowel pathology in older children and adults. Conventionally, the resection is accomplished at laparotomy. We report the case of a 20-year-old woman who presented with diarrhea and vomiting of 1 week duration. She was found unexpectedly to have intussusception on abdominal ultrasonography. The intussusception was laparoscopically reduced, and a segment of the middle small bowel that harbored an inverted Meckel's diverticulum was resected laparoscopically, after which an intracorporeal anastomosis was fashioned. The ileus resolved on postoperative day 4, and the patient was discharged from hospital on postoperative day 5. The role of the laparoscopic approach in the management of intussusception is discussed.
机译：肠套叠常见于儿童，但很少见于成人。对比灌肠的静水压通常在婴儿和儿童中被证明具有诊断性和治疗性，而在较大的儿童和成人中，基础肠道病理通常需要切除。通常，切除是在剖腹手术中完成的。我们报道了一名20岁女性，腹泻和呕吐持续时间为1周。在腹部超声检查中意外发现她有肠套叠。腹腔镜下减少肠套叠，腹腔镜下切除中间有小肠的Meckel憩室，将小肠段切除，然后进行体内吻合术。术后第4天肠梗阻消退，术后第5天患者出院。讨论了腹腔镜手术在肠套叠处理中的作用。

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