患者,男性,12岁,因便秘6年加重2个月来我院就诊,自诉平素排便不规律,每1-4天1次,2个月前加重,并偶然发现腹部隆起,位于腹部两侧,呈管状,有时可见蠕动波,进食后加重,排便后缓解消失,无呕吐、腹痛、腹胀,大便呈颗粒状,量少,颜色无异常。患者入院前便自行进食流质,入院后查体生命体征平稳,心肺无异常,腹部平坦,未发现腹部隆起,无压痛、反跳痛,未触及肿块,肝脾肋下未及,肛门指检无异常。全腹部多排CT示部分肠管明显扩张、 Patients, men, 12 years old, 6 years due to constipation increased 2 months to our hospital, private prosecution usually irregular bowel movements, once every 1-4 days, 2 months ago increased, and occasionally found abdominal bulge, located on both sides of the abdomen , Was tubular, and sometimes visible peristalsis waves, increased after eating, defecation ease and disappear, no vomiting, abdominal pain, bloating, stool was granular, less, no abnormal color. Patients admitted to the hospital before their own dietary fluid quality after admission, physical examination showed a stable vital signs, no abnormal heart and lungs, flat abdomen, no abdominal bulge, no tenderness, rebound tenderness, no palpable mass, liver and spleen suboptimal, anus abnormal. Full abdominal multiple CT showed part of the bowel significantly expanded,