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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소아소화기영양학회 Pediatric Gastroenterology, Hepatology & Nutrition Pediatric Gastroenterology, Hepatology & Nutrition 제22권 제3호
- 발행연도
- 2019.1
- 수록면
- 291 - 297 (7page)
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초록· 키워드
오류제보하기
Bowel ischemia is a life-threatening surgical emergency. We report a case of rapidly progressive bowel necrosis in a previously healthy child without proven mechanical small bowel obstruction. The definite diagnosis was established at the time of an exploratory operation. Of note, imaging studies and even a laparotomy did not reveal any evidence of acute appendicitis or mechanical obstruction such as intussusception or Meckel's diverticulum. During hospitalization, since we could not rule out surgical abdomen after inconclusive image findings, we closely followed the patient and repeated physical examinations carefully. Eventually surgical exploration was performed based on changes in clinical condition, which proved to be the right decision for the patient. We propose that in children with suspected strangulation of small bowel obstruction, especially when imaging findings do not provide a conclusive diagnosis, the timely exploratory surgical approach ought to be chosen based on carefully observed clinical findings and other evaluations.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
van den Heijkant TC / 2013 / Challenges in diagnosing mesenteric ischemia / World J Gastroenterol 19:1338~1341
Jeican II / 2016 / Intestinal ischemia in neonates and children / Clujul Med 89:347~351
Millet I / 2015 / Value of CT findings to predict surgical ischemia in small bowel obstruction : a systematic review and meta-analysis / Eur Radiol 25:1823~1835
Silva AC / 2009 / Small bowel obstruction : what to look for / Radiographics 29:423~439
Tsumura H / 2004 / Systemic inflammatory response syndrome(SIRS)as a predictor of strangulated small bowel obstruction / Hepatogastroenterology 51:1393~1396
Jeican II / 2016 / Intestinal ischemia in neonates and children / Clujul Med 89:347~351
Millet I / 2015 / Value of CT findings to predict surgical ischemia in small bowel obstruction : a systematic review and meta-analysis / Eur Radiol 25:1823~1835
Silva AC / 2009 / Small bowel obstruction : what to look for / Radiographics 29:423~439
Tsumura H / 2004 / Systemic inflammatory response syndrome(SIRS)as a predictor of strangulated small bowel obstruction / Hepatogastroenterology 51:1393~1396
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