Department of Pediatric Radiology, Children's Hospital of Pittsburgh of University of Pittsburgh Medical Centre, Pittsburgh, PA 15224, USA.
J Pediatr Surg. 2012 Aug;47(8):e17-9. doi: 10.1016/j.jpedsurg.2012.03.060.
Isolated fibrous gastric antral band in a neonate causing partial gastric obstruction and mimicking prepyloric antral web is not reported in the English literature, and we would like to report the first case. A premature neonate with feeding difficulties and bilious aspirate underwent upper gastrointestinal contrast examination. The upper gastrointestinal series showed a thin, radiolucent, circumferential band in the antrum with delayed gastric emptying. Radiographic diagnosis of prepyloric antral web with partial gastric obstruction was made. Intraoperatively, a circumferential fibrous cord was found in the muscle layer (tunica muscularis) of the antrum, which was completely divided. Clinically and radiographically, the 2 conditions could not be differentiated but require 2 separate surgical techniques for their management.
孤立性纤维性胃窦带在新生儿中引起部分性胃梗阻并模拟幽门窦前带在英文文献中尚无报道，我们报道首例。一例有喂养困难和胆汁性吸入的早产儿进行了上消化道造影检查。上消化道系列显示胃窦有一薄的、不透射线的环状带，胃排空延迟。放射学诊断为幽门窦前带伴部分性胃梗阻。术中发现胃窦肌层（肌层）有一环形纤维索，完全分开。临床和影像学上，这两种情况无法区分，但需要两种不同的手术技术来处理。
