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先天性十二指肠梗阻合并完全性内脏转位:罕见关联病例报告及讨论

Congenital duodenal obstruction with situs inversus totalis: Report of a rare association and discussion.

作者信息

Sharma Satendra, Rashid Kumar Abdul, Dube Ravi, Malik G K, Tandon R K

机构信息

Department of Pediatric Surgery, King George's Medical University, Lucknow, India.

出版信息

J Indian Assoc Pediatr Surg. 2008 Apr;13(2):77-8. doi: 10.4103/0971-9261.43029.

DOI:10.4103/0971-9261.43029
PMID:20011474
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2788442/
Abstract

This report is to present and discuss an extremely rare association of situs inversus with duodenal atresia in an 11-day-old male neonate born full term and weighing 1.9 kg. The baby presented with recurrent bilious vomiting. Babygram revealed situs inversus and duodenal obstruction. Echocardiography showed dextrocardia with a small ASD. Exploration confirmed a duodenal diaphragm with a central perforation between the third and fourth part of the duodenum and situs inversus. The literature search revealed 20 cases reported so far.

摘要

本报告旨在呈现并讨论一名11日龄足月出生、体重1.9千克的男性新生儿中,罕见的内脏反位与十二指肠闭锁的关联。该婴儿出现反复胆汁性呕吐。腹部平片显示内脏反位和十二指肠梗阻。超声心动图显示右位心伴小型房间隔缺损。手术探查证实为十二指肠隔膜,在十二指肠第三和第四部分之间有中央穿孔以及内脏反位。文献检索显示,迄今为止已报告20例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeff/2788442/bf52a0c99e2e/JIAPS-13-77-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeff/2788442/bf52a0c99e2e/JIAPS-13-77-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeff/2788442/bf52a0c99e2e/JIAPS-13-77-g001.jpg

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本文引用的文献

1
Situs inversus abdominus in association with congenital duodenal obstruction: a report of two cases and review of the literature.腹内脏器反位合并先天性十二指肠梗阻:两例报告及文献复习
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Genetics of human situs abnormalities.人类内脏位置异常的遗传学
Am J Med Genet. 2001 Jul 15;101(4):356-8.
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Abdominal situs inversus with congenital duodenal stenosis: rare association.先天性十二指肠狭窄合并内脏反位:罕见关联。
J Med Case Rep. 2017 Sep 18;11(1):264. doi: 10.1186/s13256-017-1423-z.
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Preduodenal Portal Vein with Situs Inversus Totalis causing Duodenal Obstruction.十二指肠前门静脉合并完全性内脏反位导致十二指肠梗阻。
APSP J Case Rep. 2016 Jun 15;7(3):24. doi: 10.21699/ajcr.v7i3.435. eCollection 2016 Jul-Aug.
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Duodenal atresia in association with situs inversus abdominus.十二指肠闭锁合并腹内脏器反位。
J Indian Assoc Pediatr Surg. 2012 Apr;17(2):71-2. doi: 10.4103/0971-9261.93967.
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Combination of annular pancreas and partial situs inversus: a multiple organ malrotation syndrome associated with duodenal obstruction.环状胰腺合并部分内脏反位:一种与十二指肠梗阻相关的多器官旋转不良综合征。
J Pediatr Surg. 1988 Feb;23(2):188-91. doi: 10.1016/s0022-3468(88)80156-8.
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Congenital duodenal obstruction.先天性十二指肠梗阻
Br J Surg. 1992 Feb;79(2):133-5. doi: 10.1002/bjs.1800790212.