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New concept of ileocecal junction:Intussusception of the terminal ileum into the cecum

World Journal of Gastroenterology 2007年第20期13卷 2855-2857页

作者： Burin Awapittaya Jirawat Pattana-arun Tanwa Tansatit Prapon Kanjanasilpa Chucheep Sahakijrungruang Arun Rojanasakul Colorectal Division Department of SurgeryRajavithi HospitalBangkok 10400Thailand Colorectal Division Department of SurgeryFaculty of MedicineKing Chulalongkorn Memorial HospitalChulalongkorn UniversityBangkok 10330Thailand Department of Anatomy Faculty of MedicineChulalongkorn UniversityBangkok 10330Thailand

AIM: To prove that the terminal ileum is intussuscepted into the cecum creating the ileocecal junction,contrary to previous valvular concept which has been widely believed. METHODS: This study is based on gross and microscopic examinations of fresh specimens derived from colonic operations (right hemicolectomy or subtotal colectomy). Data compiled from observing and dissecting of specimens of seven patients are used to examine both gross and microscopic appearance of ileocecal junction. RESULTS: Intussusception of the terminal ileum was found in every specimen. However,the length of intussusception was different in each specimen. CONCLUSION: Gross and microscopic appearance studies suggest that the terminal ileum is intussuscepted into the cecum.

关键词： ileocecal valve ileocecal junction Intussusception

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Surgical Treatment of Small Intestinal Bleeding Caused by Arterial Gastrointestinal Fistula: A 2-Case Report

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Case Reports in Clinical Medicine 2023年第4期12卷 81-87页

作者： Maieryemu Sulaiman Sakarie Mustafe Hidig Jie Yang Tianshan Wu Xiaokaiti Yibulayin Department of Emergency Surgery The First Affiliated Hospital of Xinjiang Medical University Urumqi China Department of General Surgery The Affiliated Hospital of Xuzhou Medical University Xuzhou China

Background: This study aims to better understand diagnosing and treating arterial gastrointestinal fistulas. Methods: The diagnosis and treatment of two patients with arterial gastrointestinal fistulas were reported, and the experience with diagnosis and treatment was summarized. Results: In these two cases, both patients were admitted with bleeding as the primary complaint, both underwent emergency laparotomies, and both patients were diagnosed with small intestinal bleeding before surgery. the first patient died as a result of an abdominal aortic aneurysm rupture caused by chronic vascular repair and postoperative implant infection;the second patient underwent vascular repair on time, we treated him with third-generation cephalosporin, and after he was stabilized, we performed left total iliac stent placement and left internal iliac artery embolization;he had no fever after surgery, his incision was healed, and he was successfully discharged from the hospital. Conclusion: Aortic gastrointestinal fistula is rare and has a high mortality rate, attention should be paid to distinguishing it from small intestinal bleeding. Timely diagnosis and rapid surgical treatment are keys to improving survival.

关键词： ileocecal valve Abdominal Aortic Aneurysms Laparotomy Probe Angiography Primary Aortoenteric Fistula

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