- 期刊
單一升結腸憩室引發之小腸內疝氣：一病例報告
Solitary Diverticulum of Ascending Colon Induced Internal Intestinal Herniation: Report of One Case
摘要
常見的結腸憩室好發於左側結腸，且是多發性的，單發性右側結腸憩室(solitary right colonic diverticulum)則較罕見，是一真性憩室，一般多認爲是先天性的病變。除非是有併發症的發生，一般是無症狀的，常見的併發症有憩室炎，穿孔、出血。本病例報告：爲四歲大的小女孩，在懷疑腸阻塞的情況下實行手術探查。剖腹探查時，發現一4cm之昇結腸憩室沾黏至迴腸腸繁膜，而引發小腸內疝氣(internal herniation)造成腸阻塞，則是很罕見的併發症。
關鍵字
無資料並列摘要
Colonic diverticula are generally multiple and occur most commonly in the descending and sigmoid colon. Solitary ascending colonic diverticulum is a rare pathology and presents several features which separate it from colonic diverticulosis. it is a true diverticulum. It is a congenital dysplasia that generally runs an asymptomatic course and becomes clinically importantonly when inflammatory, perforating, or hemorrhagic complications occurs and presents a difficult problem in diagnosis and management. An unusual case of 4 year old girl with solitary ascending colonic diverticulum was reported here. It caused internal intestinal herniation by forming an adhesion band with mesentery and the clinical course manifested as an acute intestinal obstruction.
延伸閱讀
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- Tsai, C. H., Ng, K. K., & Chen, H. Y. (2003). 接口後疝造成入向腸段阻塞之CT發現一病例報告. 中華放射線醫學雜誌, 28(2), 119-123. https://www.airitilibrary.com/Article/Detail?DocID=10188940-200304-28-2-119-123-a
- 陳青富、王柏川、陳重助、張瀚文（2012）。肇因於閉孔疝氣的腸阻塞：一病例報告。內科學誌，23(2)，124-129。https://doi.org/10.6314/JIMT.2012.23(2).06
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- 陳克治、呂適存（1977）。CONGENITAL URETHRAL DIVERTICULUM。中華放射線醫學雜誌，2(1)，45-49。https://www.airitilibrary.com/Article/Detail?DocID=10188940-197703-201708310008-201708310008-45-49