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中华医学超声杂志(电子版) ›› 2023, Vol. 20 ›› Issue (06) : 668 -671. doi: 10.3877/cma.j.issn.1672-6448.2023.06.019

病例报告

超声诊断婴幼儿继发性空肠狭窄一例
江敏睿, 杨春江(), 范晓, 丁浩, 樊利   
  1. 400015 重庆医科大学附属儿童医院超声科 国家儿童健康与疾病临床研究中心 儿童发育疾病研究教育部重点实验室 儿童发育重大疾病国家国际科技合作基地 儿科学重庆市重点实验室
    400015 重庆医科大学附属儿童医院放射科 国家儿童健康与疾病临床研究中心 儿童发育疾病研究教育部重点实验室 儿童发育重大疾病国家国际科技合作基地 儿科学重庆市重点实验室
  • 收稿日期:2022-01-30 出版日期:2023-06-01
  • 通信作者: 杨春江

Ultrasound evaluation of acquired jejunal atresia in an infant: a case report

Minrui Jiang, Chunjiang Yang(), Xiao Fan   

  • Received:2022-01-30 Published:2023-06-01
  • Corresponding author: Chunjiang Yang
引用本文:

江敏睿, 杨春江, 范晓, 丁浩, 樊利. 超声诊断婴幼儿继发性空肠狭窄一例[J]. 中华医学超声杂志(电子版), 2023, 20(06): 668-671.

Minrui Jiang, Chunjiang Yang, Xiao Fan. Ultrasound evaluation of acquired jejunal atresia in an infant: a case report[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(06): 668-671.

图1 肠道超声声像图表现。图a为入院当天初诊超声图像示左侧腹空肠异常扩张,不全性肠梗阻;图b为入院第5天复诊,左中腹空肠区狭窄肠段,萎瘪僵硬,壁层次模糊
图2 腹部X线片及钡灌肠表现。图a为腹部X线片提示胃泡影较大,中上腹可见气液平,提示小肠梗阻征象;图b为钡灌肠造影示结肠未见明显痉挛段、狭窄段
图3 全消化道造影及增强CT表现。图a为全消化道造影显示小肠部分梗阻,先天性肠扭转不良;图b为增强CT示十二指肠明显扩张,空肠远端狭小,增强后强化过度(黄色圈所示)
图4 腹腔镜探查术中见肠管扩张段、狭窄段及狭窄处多条索带附着
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