对一例难治性小肠-小肠肠套叠病例的评估和新疗法

JPGN Reports Pub Date : 2024-05-07 DOI:10.1002/jpr3.12078
Danielle G. Rabinowitz, Paul A. Rufo
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引用次数: 0

摘要

小肠并入小肠肠套叠的症状与更常见的小肠并入大肠肠套叠患者的症状相似。在大多数情况下,孤立于小肠的肠套叠是自限性的,不太可能导致肠缺血。尽管如此,任何复发性肠套叠患者都应接受评估,以确定位置和是否存在病理导联点。我们报告了一名复发性小肠并入小肠肠套叠患者,对其进行了全面评估,发现其淋巴组织增生,但没有病理引线点。口服一剂地塞米松后,他的症状得到缓解。
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Evaluation and novel treatment in a case of refractory small bowel‐small bowel intussusception
Small bowel into small bowel intussusception can present with symptoms similar to those observed in patients with more common small bowel into large bowel intussusception. In most cases, intussusceptions isolated to the small bowel are self‐limited and less likely to result in bowel ischemia. Nonetheless, any patient with recurrent intussusception should be evaluated to assess location and for the presence of a pathologic lead point. We report a patient with recurrent small bowel into small bowel intussusception who underwent a comprehensive evaluation that revealed lymphoid hyperplasia in the absence of a pathologic lead point. His symptoms resolved after a dose of oral dexamethasone.
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