空回肠转位并间位结肠病例报告及相关文献复习  

Case Report and Literature Review of Ileum Transposition with the Interposition Colon

作　　者：吴杰 王瑞玲 李雪 田甜 仪清华 WU Jie;WANG Rui-ling;LI Xue;TIAN Tian;YI Qing-hua(Department of Gastroenterology,General Hospital of PLA Rocket Forces,Beijing 100088,China)

机构地区：[1]中国人民解放军火箭军总医院消化内科,北京100088

出　　处：《临床误诊误治》2018年第6期13-15,共3页Clinical Misdiagnosis & Mistherapy

摘　　要：目的探讨空回肠转位并间位结肠的临床特征及误诊原因。方法对我院收治的1例空回肠转位并间位结肠的临床资料进行回顾性分析。结果本例因间断中上腹胀痛7个月,加重3 d就诊。多次摄腹部X线片提示不全肠梗阻,予禁食水、灌肠、通便等治疗,症状未见明显好转。后完善相关检查,明确诊断为空回肠转位并间位结肠,予相应处理后病情好转出院。随访4个月,患者症状未反复。结论空回肠转位并间位结肠临床少见且症状不典型,加强认识、提高诊治水平是尽早确诊、改善预后的关键。Objective To explore the clinical features and causes of misdiagnosis of the ileum transposition and the interposition colon. Methods The clinical data of 1 case of ileum transposition and interposition colon in our hospital were analyzed retrospectively. Results The patient presented with intermittent distention and pain in the upper abdomen for 7 months,which was aggravated 3 days before admission. Repeated abdominal X-ray showed incomplete intestinal obstruction,but the patient was not responsive to the treatments,including fasting water,enema,and laxative,were given,and the symptoms were not obviously improved. Diagnosis of ileum transposition and interposition colon was confirmed by the related examinations,and the symptoms were improved after the symptomatic treatment. The patient was followed up for 4 months,and reported no symptoms. Conclusion Given atypical clinical symptoms of ileum transposition and interposition colon which is also rare,strengthening the understanding and improving the level of diagnosis and treatment is the key to early and definitive diagnosis as well as the improvement of the prognosis.

关 键 词：空回肠转位 间位结肠 误诊 肠梗阻 

分 类 号：R574.5[医药卫生—消化系统]