Sangkhathat Surasak, Patrapinyokul Sakda, Donsakul Nara
Pediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Songkhla, 90110, Thailand.
J Med Assoc Thai. 2002 Oct;85(10):1130-4.
Herein, the authors report a case of ileal atresia who failed to have good bowel function after primary anastomosis. After the leakage of the revised anastomosis, a thorough pathological review found distal aganglionosis. An ileostomy followed by an ileocolic patch operation were performed for temporary decompression, awaiting intestinal adaptation. A definitive pull-through was performed, eight months later. The child also had bilateral cleft lip together with complete cleft palate, and hemivertebrae of the thoracic spines. A cluster of malformations is unusual in a single patient.
在此，作者报告一例回肠闭锁患者，其在初次吻合术后肠道功能未恢复良好。在改良吻合口漏出后，全面的病理检查发现远端无神经节症。行回肠造口术，随后进行回结肠补片手术以进行临时减压，等待肠道适应。八个月后进行了确定性的拖出术。该患儿还患有双侧唇裂伴完全腭裂以及胸椎半椎体畸形。单一患者出现一系列畸形情况并不常见。
