Department of Surgery, University Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur 56000, Malaysia.
Singapore Med J. 2009 Dec;50(12):e412-4.
Localised dilatation of a segment of the intestine without any macroscopically-identifiable cause is rare, and has been reported in association with omphalocoele in only 14 children up to 2006. In most of these cases, the segmental intestinal dilatation (SID) was either diagnosed incidentally, or due to presentation with partial or complete intestinal obstruction. We report, for the first time, a 37-week-old neonate with bowel perforation in SID associated with omphalocoele. In our case, a long thin vessel that resembled the mesodiverticular vessel of a Meckel's diverticulum was present in the dilated segment, supporting the view that SID and Meckel's diverticulum may be embryologically related.
局限性肠段扩张而无明显宏观病因较为罕见，截至 2006 年仅在 14 例脐膨出患儿中报道过。这些病例中，多数节段性肠扩张（SID）是偶然诊断的，或由于部分或完全肠梗阻引起。我们首次报道了一例 37 周龄新生儿伴脐膨出的 SID 合并肠穿孔。在我们的病例中，扩张段存在一条细长的血管，类似于 Meckel 憩室的中肠憩室血管，这支持了 SID 和 Meckel 憩室可能具有胚胎学相关性的观点。
