Chung Mei-Yung, Ko Tan-Yung, Huang Chung-Bin, Lee Chiang-Hsuan, Hsieh Chih-Sung
Department of Pediatrics, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Chang Gung Med J. 2006 Mar-Apr;29(2):203-6.
Biliary atresia, malrotation, meconium peritonitis and transient hypothyroidism are occasionally seen in neonatal infants. Biliary atresia associated with malrotation has been reported in some patients with polysplenia syndrome, but biliary atresia associated with meconium peritonitis has only been described by a few investigators. Here we present a case of meconium peritonitis due to malrotation with volvulus, followed by biliary atresia and transient hypothyroidism during early infancy.
胆道闭锁、肠旋转不良、胎粪性腹膜炎和暂时性甲状腺功能减退在新生儿中偶尔可见。一些多脾综合征患者曾报道过合并肠旋转不良的胆道闭锁,但仅有少数研究者描述过合并胎粪性腹膜炎的胆道闭锁。本文报告1例因肠旋转不良伴肠扭转导致胎粪性腹膜炎,随后在婴儿早期出现胆道闭锁和暂时性甲状腺功能减退的病例。