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一例合并先天性回肠闭锁、结肠完全缺如及背侧肠囊肿并与经膀胱瘘与腹膜后孤立盲肠相通的分裂脊索综合征病例。

A case of split notochord syndrome with congenital ileal atresia, the total absence of a colon, and a dorsal enteric cyst communicating to the retroperitoneal isolated ceca with a vesical fistula.

作者信息

Asagiri Kimio, Yagi Minoru, Tanaka Yoshiaki, Akaiwa Masao, Asakawa Takahiro, Kaida Akiko, Kobayashi Hidefumi, Tanaka Hiroaki

机构信息

Department of Pediatric Surgery, School of Medicine, Kurume University, 67 Asahimachi, Kurume, Fukuoka 830-0011, Japan.

出版信息

Pediatr Surg Int. 2008 Sep;24(9):1073-7. doi: 10.1007/s00383-008-2206-9. Epub 2008 Jul 30.

Abstract

Split notochord syndrome (SNS) is an extremely rare anomaly. This report presents the case of a male infant with SNS associated with congenital ileal atresia and a dorsal enteric cyst communicating to the retroperitoneal isolated ceca with a vesical fistula. Dorsal fistulography and vesicography were useful and essential for the detailed study of the topology in this patient. The embryological mechanism and etiologic theories are discussed with a review of 19 cases reported in the literature.

摘要

脊索分裂综合征(SNS)是一种极其罕见的异常情况。本报告介绍了一名患有SNS的男婴病例,该病例伴有先天性回肠闭锁以及一个与后腹膜孤立盲肠相通并伴有膀胱瘘的背侧肠囊肿。背侧瘘管造影和膀胱造影对于详细研究该患者的解剖结构非常有用且必不可少。本文结合文献报道的19例病例对胚胎学机制和病因学理论进行了讨论。

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