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作者报道1例22个月小儿,由少见的腺肌瘤样错构瘤致回-回型肠套叠。临床表现为腹绞痛和呕吐3天。体检腹胀,肠鸣音亢进、反跳痛、触痛。仰卧位、立位腹部平片示肠梗阻,小肠扩张并有气-液平。钡灌肠结肠正常,但所见回肠粘膜水肿,钡剂返流至回肠末端显示环形、跳跃状充盈缺损,符合回-回型肠套叠。升高钡袋加压未能复位。剖腹探查示回-回型肠套叠,且见粘膜下或浆膜下肿块。
The authors report a case of 22-month-old children, caused by the rare adenomyosis-like hamartoma-retrograde intussusception. Clinical manifestations of abdominal cramps and vomiting for 3 days. Physical examination bloating, bowel sounds hyperthyroidism, rebound tenderness, tenderness. Supine position, standing abdominal plain film showed intestinal obstruction, small intestine expansion and gas - liquid level. Barium enema normal colon, but see the ileal mucosal edema, barium reflux to the terminal ileum showed ring, filling filling defect, in line with the back - type intussusception. Raised barium bag pressure failed to reset. Caesarean exploration showed back - back type intussusception, and see submucosal or subserosal mass.