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An asymptomatic presentation of gastric outlet obstruction secondary to congenital antral web in an extremely preterm infant.一名极早产儿因先天性胃窦蹼导致胃出口梗阻的无症状表现。
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.10.2009.2327. Epub 2009 Dec 14.
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引用本文的文献

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Gastric antral webs in adults: A case series characterizing their clinical presentation and management in the modern endoscopic era.成人胃窦蹼：现代内镜时代其临床表现及管理特征的病例系列报道
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本文引用的文献

1
Pyloric atresia: an attempt at anatomic pyloric sphincter reconstruction.幽门闭锁：解剖学幽门括约肌重建的尝试。
J Pediatr Surg. 2000 Sep;35(9):1372-4. doi: 10.1053/jpsu.2000.9340.
2
Congenital (prepyloric) antral membrane: prenatal diagnosis and treatment.先天性（幽门前）胃窦膜：产前诊断与治疗
J Pediatr Surg. 1994 Dec;29(12):1589-90. doi: 10.1016/0022-3468(94)90227-5.
3
Epidermolysis bullosa letalis associated with congenital pyloric atresia.
Arch Dermatol. 1981 Nov;117(11):728-31.
4
Neonatal pre-pyloric membrane.新生儿幽门前膜
S Afr Med J. 1967 Oct 28;41(41):1076-9.
5
Congenital gastric outlet obstruction.先天性胃出口梗阻
J Pediatr Surg. 1989 Dec;24(12):1241-6. doi: 10.1016/s0022-3468(89)80559-7.
6
Premature twins with skin lesions and gastric outlet obstruction.患有皮肤病变和胃出口梗阻的早产双胞胎。
J Pediatr. 1992 Apr;120(4 Pt 1):645-51. doi: 10.1016/s0022-3476(05)82500-4.
7
Diagnosis of congenital antral web by ultrasound.超声诊断先天性胃窦蹼
Pediatr Radiol. 1992;22(5):342-3. doi: 10.1007/BF02016251.

一名极早产儿因先天性胃窦蹼导致胃出口梗阻的无症状表现。

An asymptomatic presentation of gastric outlet obstruction secondary to congenital antral web in an extremely preterm infant.

作者信息

Godambe Sunit V, Boriana Parvez, Ein Sigmund H, Shah Vibhuti

机构信息

Imperial College Healthcare NHS Trust, Division of Neonatology, Winnicott Baby Unit, St Mary's Hospital, London W2 1NY, UK.

出版信息

BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.10.2009.2327. Epub 2009 Dec 14.

DOI:10.1136/bcr.10.2009.2327
PMID:22171237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3029960/
Abstract

A case of gastric outlet obstruction secondary to antral web in a preterm infant born at 25 weeks gestation is reported. The diagnosis was suspected on plain abdominal radiograph performed postnatally to confirm position of the umbilical catheters. On the initial radiograph (at age 1 h), a dilated stomach with a gasless abdomen was noted. A repeat chest and abdominal radiograph performed 24 h later due to increased ventilatory requirements showed persistence of this finding and upper gastrointestinal obstruction was suspected. An upper gastrointestinal contrast study confirmed the diagnosis of gastric outlet obstruction. The infant underwent a curative pyloroplasty on day 11 of life. The postoperative course was uneventful.

摘要

报道了一例孕25周出生的早产儿因胃窦部蹼导致胃出口梗阻的病例。出生后为确认脐静脉导管位置而进行的腹部平片检查时怀疑有该诊断。在最初的X线片（出生后1小时）上，可见胃扩张且腹部无气体。由于通气需求增加，在24小时后再次进行胸部和腹部X线检查，该表现持续存在，怀疑有上消化道梗阻。上消化道造影检查确诊为胃出口梗阻。该婴儿在出生后第11天行根治性幽门成形术。术后过程顺利。