关键词: emergency abdominal surgery emergency exploratory laparotomy ileo-ileal intussusception meckel´s diverticulum pediatrics emergency

来  源:   DOI:10.7759/cureus.60073   PDF(Pubmed)

Abstract:
The most prevalent congenital gastrointestinal tract abnormality is Meckel\'s diverticulum. It is discovered in most instances incidentally. It can be observed as painless bleeding in the gastrointestinal tract. However, it can occasionally result in acute intestinal obstruction, which frequently masks the actual clinical presentation. This is a case of a four-and-a-half-year-old male child who presented with features of obstruction, which, on further evaluation, revealed ileoileal intussusception. An emergency surgical intervention was planned with an exploratory laparotomy and a reduction of intussusception. This case emphasizes the urgency of diagnosing and managing intussusception to prevent serious consequences such as bowel ischemia, bowel necrosis, bowel perforation, peritonitis, and sepsis. It stands as a stark reminder for medical professionals to stay vigilant for these critical gastrointestinal emergencies, and immediate treatment with a multidisciplinary approach is recommended to significantly enhance patient outcomes.
摘要:
最常见的先天性胃肠道异常是Meckel憩室。它在大多数情况下是偶然发现的。可以观察到胃肠道无痛出血。然而,偶尔会导致急性肠梗阻,这经常掩盖了实际的临床表现。这是一个四岁半的男孩,表现出阻塞的特征,which,关于进一步的评估,显示回肠肠套叠.计划进行紧急手术干预,进行剖腹探查术和肠套叠减少。该病例强调了诊断和管理肠套叠以防止肠缺血等严重后果的紧迫性。肠坏死,肠穿孔,腹膜炎,还有败血症.它强烈提醒医疗专业人员对这些严重的胃肠道紧急情况保持警惕,建议采用多学科方法立即治疗,以显著提高患者的预后.
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