Nawaz Akhtar, Matta Hilal, Hamchou Mustafa, Jacobez Alic, Trad Omar, Al Salem Ahmed H
Division of Pediatric Surgery, Department of Surgery, Tawam Hospital, Al Ain, Abu Dhabi, United Arab Emirates.
Pediatr Surg Int. 2005 Jul;21(7):589-92. doi: 10.1007/s00383-005-1412-y. Epub 2005 Jul 13.
This report describes two newborns with persistent bile-stained vomiting. Their radiological investigations revealed the existence of situs inversus and duodenal obstruction. In one, the duodenal obstruction was partial, secondary to a duodenal diaphragm with a central aperture, whereas the other child had complete duodenal atresia as well as Fallot's tetralogy. Such an association is extremely rare, with only 18 cases reported so far in the literature. Embryological aspects, investigations, and treatment are also discussed.
本报告描述了两名持续性胆汁染色呕吐的新生儿。他们的影像学检查显示存在内脏反位和十二指肠梗阻。其中一名患儿的十二指肠梗阻为部分性，继发于带有中央小孔的十二指肠隔膜，而另一名患儿则患有完全性十二指肠闭锁以及法洛四联症。这种关联极为罕见，迄今为止文献中仅报道了18例。本文还讨论了胚胎学方面、检查及治疗情况。
