1案例资料1.1简要案情及临床经过蒋某,女,60岁。某日午餐后被人脚踢下腹部致疼痛肿胀4h入院,既往有腹痛、腹泻等腹部不适病史数年。查体:一般情况尚可,肠鸣音低,约1~2次/min,下腹部稍肿胀,压痛明显,会阴部肿胀,压痛明显。入院次日盆腔CT示子宫、直肠陷窝内有少量积液,即行剖腹探查术+小肠部分切除术。术中发现回肠有约20cm呈淤血性坏死状改变,近回盲部见2.0cm× 1 case information 1.1 brief case and clinical after Jiangmou, female, 60 years old. One day after lunch was kicked lower abdominal pain caused by swelling 4h admission, past history of abdominal pain, diarrhea and other abdominal discomfort for several years. Physical examination: the general situation is acceptable, low bowel sounds, about 1 to 2 times / min, the lower abdomen slightly swollen, tenderness, perineal swelling, tenderness significantly. Pelvic CT showed the day after admission uterus, rectum lacunae have a small amount of effusion that laparotomy + small bowel resection. Intraoperative findings ileum was about 20cm was congestive necrosis changes, near the ileocecal see 2.0cm ×