Matsumoto Y, Komatsu K, Tabata T
Division of Pediatric Surgery, Iwaki Kyoritsu General Hospital, Japan.
Surg Today. 2000;30(5):438-40. doi: 10.1007/s005950050619.
Small intestinal atresia occurring in twins is extremely rare. The aims of this study are to report a case of identical twins with different types of jejunal atresia, to review six other pairs of twins, and discuss the etiology. Our case was the seventh in which both twins were diagnosed to have jejuno-ileal atresia. Furthermore, they are also only the sixth and seventh patients known to survive. All the other published cases involved identical twins except one. Three pairs had different types of atresia and four pairs did not have any other anomalies. In addition, to date there have been no further indications of any other members of these families being affected with intestinal atresia. Therefore, we conclude that most such cases might be due to environmental influences during gestation.
双胞胎发生小肠闭锁极为罕见。本研究旨在报告一例患有不同类型空肠闭锁的同卵双胞胎病例，回顾其他六对双胞胎病例，并讨论其病因。我们的病例是第七例被诊断为空回肠闭锁的双胞胎。此外，他们也是已知存活的第六和第七例患者。除一例之外，所有已发表的病例均涉及同卵双胞胎。三对双胞胎有不同类型的闭锁，四对没有任何其他异常。此外，迄今为止，这些家庭的其他成员没有出现任何受小肠闭锁影响的进一步迹象。因此，我们得出结论，大多数此类病例可能是由于孕期的环境影响。
