PDF(Pubmed)
Abstract：
Ileocecal intussusception (ICI) is the most common abdominal emergency and cause of intestinal obstruction in young children, carrying a high risk of mortality and morbidity. Enteric viral infectious and inflammatory syndromes are known triggers for intussusception (ileoileal and ileocolic) by causing mesenteric lymphoid hyperplasia that may act as a leading point allowing the bowel to invaginate into itself. Gastrointestinal (GI) symptoms are common in children with coronavirus disease 2019 (COVID-19) infection, with a subset of patients solely having GI complaints at the time of presentation. COVID-19 as a trigger for intussusception in children has been hypothesized and suggested in multiple cases reported to date, both during the acute phase of illness and as a part of multisystem inflammatory syndrome in children (MIS-C). We present a seven-month-old male who developed ICI and became a diagnostic dilemma due to viral co-infections and the gradual emergence of MIS-C during the hospital stay. We are describing this presentation in an attempt to expand the understanding of the implications of COVID-19 and MIS-C in this young and unique age group.
摘要：
回盲肠肠套叠（ICI）是最常见的腹部急症，也是幼儿肠梗阻的原因，携带高死亡率和发病率的风险。肠道病毒感染性和炎性综合征是肠套叠（回肠和回肠）的已知诱因，可引起肠系膜淋巴增生，这可能是肠系膜淋巴增生的主要原因。胃肠道（GI）症状在2019年冠状病毒病（COVID-19）感染儿童中很常见，一部分患者在就诊时仅有胃肠道主诉。迄今为止，在多例报道的病例中，已经假设并建议将COVID-19作为儿童肠套叠的触发因素，在疾病的急性期和作为儿童多系统炎症综合征（MIS-C）的一部分。我们介绍了一名7个月大的男性，由于病毒共同感染和住院期间MIS-C的逐渐出现，他患上了ICI并成为诊断困境。我们正在描述这个演讲，试图扩大对COVID-19和MIS-C在这个年轻而独特的年龄组的影响的理解。
