10 KB171 KB8 KB199220252005Borić, IgorCigit, IrenejPosarić, VesnaRoić, GoranVrtar, Zvonimirštevilka:2letnik:394 stranistr. 91-94ISSN:1318-2099COBISSID:19768281URN:URN:NBN:SI:doc-WI3JQLBYenAssociation of Radiology and OncologyRadiology and oncology (Ljubljana)Childčrevesječrevesne boleznidiagnostikaIleal DiseasesIlealne bolezniIntussusceptionIntususcepcijaMeckelov divertikelMeckel's DiverticulumOtrokTomografija radiografska, računalniškaTomography, X-Ray ComputeduvihanjeChronic nonischemic ileo-ileo-colic intussusception|Background. Chronic intussusception is a prolapse of a portion of the bowel into the lumen of an immediately adjacent segment of the bowel; it lasts for 14 days or more. The aim of the article is to present a rare cause of nonacuteabdominal pain. Case report. We report about 14-year-old girl who presented with a one-month history of intermittent cramping lower abdominal pain and change in bowel behavior. Plain abdominal x-ray, ultrasonography and CT were performed. Laparatomy revealed an ileo-ileo-colic intusussception (70 cm long); invaginated Meckel's diverticulum was a prevailing anomaly. Conclusions. Atypical clinical presentation of chronic intussusception often results in delayed or inadequate management of such cases because of the lack of suspicion of a correct diagnosis. Preoperative diagnosis of invagination was based on ultrasonography and computed tomography (CT) which proved again as the most effective and useful preoperative diagnostic method. Surgical intervention is always needed in adults and older children because of high incidence of underlying lesions in themIzhodišča. Kronično uvihanje (intususcepcija) dela črevesa samega vase ali v sosednjo črevesno vijugo traja 14 ali več dni. V članku prikazujemo takšen redek primer pri bolnici z neakutno bolečino v trebuhu. Prikaz primera. Opisujemo 14-letno bolnico, ki je imela en mesec krčevite bolečine v presledkih v spodnjem delu trebuha in so bile odvisne od hranjenja. Naredili smo rentgensko slikanje trebuha, nato pa še ultrazvočno in CT preiskavo trebuha, ki sta nam omogočili diagnozo. Bolnico smo operirali. Ob laparatomijismo ugotovili uvihanje tankega črevesa samega vase in v debelo črevo. Uvihanje je bilo dolgo 70 cm, prevladovalo je uvihanje Meckelovega divertikla. Zaključki. Neznačilna klinična slika kroničnega uvihanja črevesa večkrat onemogoča takojšnjo točno diagnozo in zato tudi zakasnelo ali neustrezno ukrepanje. Ultrazvok in CT trebuha sta se ponovno pokazali kot najučinkovitejši in najkoristnejši predoperativni preiskavi. Ker je lahko ob uvihanju črevesa prisotna tudi druga lezija, je pri odraslih in pri mladostnikih vedno potrebna operacijaTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaDruštvo radiologije in onkologije