Intussusception of the Small Bowel
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《新英格兰医药杂志》
A 37-year-old man presented to the emergency department with a two-day history of crampy abdominal pain, nausea, and vomiting. On physical examination, his temperature was 37.2°C, and his pulse was 110 beats per minute. The examination revealed a markedly distended abdomen, with moderate tenderness but without guarding or rebound. The patient's white-cell count was 11,300 per cubic millimeter, with 28 percent band forms. Plain-film radiography of the abdomen revealed a partial obstruction of the small bowel. Computed tomographic scanning of the abdomen showed a classic bull's-eye sign, suggesting intussusception of the small bowel (Panel A, arrow). The radiologic diagnosis was confirmed by laparoscopy (Panel B, arrow), and the patient underwent a laparascopic small-bowel resection. His postoperative course was uneventful, and he was discharged on the third postoperative day. Pathological examination revealed only acute inflammatory changes at the lead point of the intussusception, with no evidence of cancer.
Lawrence E. Harrison, M.D.
Steve H. Kim, M.D.
New Jersey Medical School
Newark, NJ 07103
Lawrence E. Harrison, M.D.
Steve H. Kim, M.D.
New Jersey Medical School
Newark, NJ 07103