- 期刊
Retrograde Intussusception as a Complication of Roux-en-Y Anastomosis for Choledochal Cyst-Report of One Case
膽管囊腫接受Roux-en-Y吻合術後併發逆行性腸套疊－一病例報告
摘要
本篇所報告是一位19個月的女孩曾接受膽管囊腫切除並藉Roux-en-Y肝管空腸吻合術重建膽管的引流。在手術三個月後病人髮生腸阻塞現象，開刀前腹部超音波檢查診斷是小腸腸套疊，剖腹術證實是發生於Roux Limb末端之逆行性空腸的腸套疊。據我們所知，這是全世界文獻所報告第一例小兒，也是第三例因Roux-en-Y吻合術後所發生的逆行性腸套疊。我們的結論是如果有病人因膽管囊腫接受Roux-en-Y吻合術後發生腸阻塞，隊了腸沾黏外，必須把逆行性腸套疊列入鑑別診斷。
並列摘要
A 19 month-old girl with choledochal cyst received complete cyst excision and biliary reconstruction by Roux-en-Y hepaticojejunostomy. Three months later, intestinal obstruction developed and small bowel intussusception was diagnosed preoperatively by ultrasonography. Laparotomy revealed retrograde jejunojejunal intussusception, involving the distal end of the Roux limb. To best knowledge, this is the frst case in a child and the third case having such complication after Roux-en-Y anastomosis, reported in the literature. It should be noted that, if intestinal obstruction develops in a patient who had received this procedure for choledochal cyst, retrograde intussusception, although very rare, should be considered in addition to adhesion ileus.
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