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患儿女,10岁,因腹痛、腹胀、呕吐6天余收入院。查体:一般情况可神志清,痛苦面容,腹肌紧张呈板状。全腹压痛、反跳痛明显,肠鸣音弱。血常规示WBC14.9×10~9/L,B超示:腹腔内探及中等量无回声暗区,右下腹较多。入院诊断:急性弥漫性腹膜炎,急性化脓性阑尾炎?即日在硬膜外麻醉下行手术探查,术中见:腹腔内血性腹水400ml,阑尾正常。距TreitZ韧带20cm处发现空肠重复畸形:畸形空肠段与正常空肠段并行,位于空肠系膜前后两层内,长约30cm。畸形空肠的开口端距TreitZ韧带20cm,其盲端距TreitZ韧带50cm。畸形空肠
Children with children, 10 years old, due to abdominal pain, abdominal distension, vomiting more than 6 days income hospital. Physical examination: the general situation can be clear, painful face, abdominal muscle tension was plate. Full abdominal tenderness, rebound pain obvious, weak bowel sounds. Blood showed WBC14.9 × 10 ~ 9 / L, B ultrasound showed: intra-abdominal exploration and moderate echo-free dark area, more right lower quadrant. Admission diagnosis: Acute diffuse peritonitis, acute suppurative appendicitis? Immediate surgical exploration under epidural anesthesia, intraoperative see: intra-abdominal bloody ascites 400ml, normal appendix. 20 cm away from the ligament of TreitZ found repeated jejunal deformity: abnormal jejunum segment and normal jejunal segment in parallel, located in two layers before and after the jejunum, about 30cm. The open end of the deformity jejunum is 20 cm from the TreitZ ligament, the blind end being 50 cm from the TreitZ ligament. Deformity jejunum