Proc R Soc Med. 1928 Aug;21(10):1717-23. doi: 10.1177/003591572802101012.
(1) Congenital malformations of the mesentery are a definite morbid entity of a chronic type which may be recognized, before operation, by careful clinical investigation. (2) The symptom-complexes to which they give rise cannot be explained by reference to any of the well-known abdominal surgical diseases; still less by any purely functional disability which may be included under the term "indigestion." (3) The most important physical sign is the "emptiness" of the right iliac fossa, associated sometimes with an asymmetrical enlargement of the abdomen on the left side. These signs follow of necessity, inasmuch as the whole segment of the embryonic mid-gut is involved in a failure of rotation and fixation after reduction from the umbilical sac. (4) Radiological investigation should prove to be more helpful in confirming the clinical diagnosis when the special method of examination already described is used as a routine. (5) Operative treatment may cure the patient; alternatively it may reveal a pathological condition for which a rational course of treatment may be drawn up subsequently, when the precise details of the malformation have been discovered.
(1) 肠系膜先天性畸形是一种明确的慢性疾病实体，术前通过仔细的临床检查即可识别。(2) 它们所引发的症状复合体无法用任何已知的腹部外科疾病来解释；更无法用“消化不良”这一术语所涵盖的任何单纯功能性障碍来解释。(3) 最重要的体征是右下腹“空虚”，有时伴有左侧腹部不对称增大。这些体征必然会出现，因为胚胎中肠的整个节段在从脐囊复位后出现旋转和固定失败。(4) 当已描述的特殊检查方法作为常规使用时，放射学检查应有助于证实临床诊断。(5) 手术治疗可能治愈患者；或者，当发现畸形的精确细节后，手术可能会揭示一种病理状况，随后可据此制定合理的治疗方案。
