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报道1例罕见的脐肠系膜管未闭的患儿,并讨论其发病机制以及这种疾病的临床指征和放射线学的诊断。1例出生2个月患儿,自出生后脐部一直有液体流出,当地医院检查为炎症性脐肿胀。采用导管插入术注入诊断性试剂,放射学诊断显示脐与肠管相通,符合脐肠系膜管未闭的诊断。讨论:本病例的确诊源于临床指征和放射学诊断。这种病例有的临床指征可能不很典型,但其并发症是严重的,包括肠管脱出、梗阻、溃疡、出血及肠穿孔。结论:脐肠系膜管未闭的早期诊断非常重要,这样可以避免并发症的发生。
One case of a rare case of umbilical mesenteric tube patent was reported and its pathogenesis and clinical indications and radiological diagnosis of the disease were discussed. One patient was born 2 months after birth and there was a fluid outflow from the umbilicus at birth. The local hospital examined inflammatory swelling of the umbilical cord. The use of catheterization injection of diagnostic reagents, radiological diagnosis of umbilical and intestinal communication, in line with umbilical mesangial patent diagnosis. Discussion: The diagnosis of this case stems from clinical indications and radiological diagnosis. Some of these cases may not be typical clinical indications, but the complications are serious, including intestinal prolapse, obstruction, ulcers, bleeding and intestinal perforation. Conclusion: The early diagnosis of umbilical mesangial canal patent is very important, so as to avoid the occurrence of complications.