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患儿,男,3岁。因腹痛、腹胀伴呕吐6天,肛门停止排便排气3天入院。查体:脱水貌,腹部膨隆,右下腹可及一约10cm×10cm大小的包块,质中,表面光滑,边界清楚,可活动,肠鸣音亢进。白细胞13.4×10~9/L。腹部平片示;小肠内有液气面,在全麻下行剖腹探查术,术中发现整个小肠积气积液,肠管扩张,回盲部有一约15cm×10cm×10cm大小的囊性包块,质中,囊壁较厚,囊壁上可见结肠带,囊肿压迫该处肠管引起梗阻,挤压近端肠腔内容物难以通过,囊肿与肠壁紧密相连,难以剥离,即行回盲部切除,回肠结肠吻合术。术后切开标本,内容物为黄色透亮的液体。囊腔与肠腔不相通,囊肿位于肠壁肌层,
Children, male, 3 years old. Due to abdominal pain, abdominal distension with vomiting 6 days, anal defecation exhaust 3 days admitted. Physical examination: dehydration appearance, bulging abdomen, the right lower quadrant can reach a mass of about 10cm × 10cm mass, the surface smooth, clear boundary, activity, bowel sounds hyperthyroidism. White blood cells 13.4 × 10 ~ 9 / L. Abdominal plain film showed; small intestine with liquid gas surface, undergoing laparotomy under general anesthesia, surgery found the entire intestine gas accumulating fluid, intestinal dilatation, ileocecal have a size of about 15cm × 10cm × 10cm cystic mass, In the mass, the wall of the capsule is thick, the colon wall can be seen on the cyst wall, the cyst oppresses the intestine to cause obstruction, the extrusion of the proximal intestinal lumen is difficult to pass through, the cyst is closely connected to the intestinal wall and is hard to peel off, Ileum colon anastomosis. After incision specimens, the contents of the yellow translucent liquid. Not the same lumen and intestine, cyst located in the intestinal wall muscle,