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患者男,6岁。因下腹部阵发性绞痛6小时入院。患者在无明显诱因下出现下腹疼痛伴恶心、呕吐。并感腹部包块,不伴有畏寒,发热,无黄疸。患者有多次类似反复发作史,均予以保守治疗后腹痛缓解出院。家族中患者母亲因黑斑息肉病伴发乙状结肠扭转于1994年在我院行乙状结肠切除术。查体:下口唇粘膜多个暗色斑点,大者直径0.2cm,不突出粘膜表面,腹平坦,左下腹见约10cm×4cm的肠型,肠鸣音活跃,余未见异常,X线腹透提示胃内大量气体,未见气液面。诊断:肠梗阻,黑斑息
Patient male, 6 years old. Due to lower abdomen paroxysmal colic 6 hours admission. Patients with abdominal pain without obvious incentive to appear with nausea and vomiting. And abdominal mass, not associated with chills, fever, no jaundice. Patients with repeated episodes of multiple similar history, were given conservative treatment of abdominal pain relief and discharge. Family mothers due to macular polyposis with sigmoid colon torsion in 1994 in our hospital sigmoid resection. Physical examination: the lower lip mucosa multiple dark spots, the larger diameter 0.2cm, does not highlight the mucosal surface, flat belly, see the left lower quadrant of about 10cm × 4cm intestinal type, bowel sounds active, I no abnormalities, X-ray Tip a lot of gas in the stomach, no gas level. Diagnosis: intestinal obstruction, black spot interest