Terminal Ileal Adhesions- An Entity Needing To Be Recognised and Treated In Recurrent Abdominal Pain (RAP)
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چکیده
Over the past 15 years, we have been using diagnostic laparoscopy as a tool in those selected cases which do not respond to conservative treatment. In a large proportion of these patients (211/436), we have identified adhesions of the terminal ileum to the lateral abdominal wall similar to the peritoneal folds found in a case of paracecal hernia (Figure 1). We have also found these adhesions in 7 children who had earlier undergone laparoscopic appendectomy for RAP but continued to have pain. We have been releasing these adhesions so as to straighten the terminal ileum. All these patients were pain-free for more than a year.
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