一位四個月大的女嬰被診斷為腸套疊,因觀察鋇劑復位僅呈部份成功,而接受開腹探查手術。手術中發現腸套疊已經復位,但在盲腸有一個相當大的腫瘤。手術的步驟為切除終迴腸及盲腸和端對端吻合,患者手術後恢復順利。病理化驗為黏液囊狀腺瘤。盲腸的黏液囊狀腺瘤是非常罕見的,這個病例可能是全世界第一個報告的案例。
A four-month-old female baby was diagnosed to have an unreduced intussusception after a barium enema. At laparotomy, the intussusception was already reduced, but a large cecal tumor was found. Resection of the cecum was performed with an uneventful postoperative course. The pathology revealed mucinous cystadenoma of the cecum. Besides being a rare pathological entity arising from the cecum, this case gives an important implication regarding the management of intussusception caused by a pathologic lead point at the age when idiopathic intussusception is common.