Crisera C A, Ginsburg H B, Gittes G K
Department of Surgery, New York University Medical Center, New York 10016, USA.
J Pediatr Surg. 1999 Aug;34(8):1280-1. doi: 10.1016/s0022-3468(99)90169-0.
This report describes a rare case of intrauterine midgut volvulus that presented at term. The pregnancy was uncomplicated. There were no signs of fetal distress or polyhydramnios, and the child was delivered vaginally. This patient had the unusual presentation in that at the time of delivery, the patient was distended and acidotic. She immediately required an extensive resection of gangrenous small bowel. Comparing this case to the 10 other cases of fetal intestinal volvulus that have been reported, it seems this child was particularly fortunate that the volvulus occurred at a point in gestation when she was mature enough to tolerate birth and surgery. This case is also the first demonstration that volvulus can present with abdominal distension in the immediate newborn period.
本报告描述了一例足月时出现的罕见宫内中肠扭转病例。该妊娠过程无并发症。无胎儿窘迫或羊水过多的迹象，患儿经阴道分娩。该患者有不寻常的表现，即在分娩时腹胀且酸中毒。她立即需要广泛切除坏死的小肠。将此病例与其他已报道的10例胎儿肠扭转病例相比，似乎这个孩子特别幸运，因为扭转发生在妊娠的一个阶段，此时她已足够成熟，能够耐受出生和手术。此病例也是第一例证明扭转可在新生儿早期表现为腹胀的病例。
