Goel Prabudh, Bajpai Minu, Nagendla Murli Krishna, Singh Akhil
Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Department of Anesthesiology, All India Institute of Medical Sciences, New Delhi, India.
J Indian Assoc Pediatr Surg. 2018 Oct-Dec;23(4):216-218. doi: 10.4103/jiaps.JIAPS_78_17.
Congenital intestinal malrotation has a wide spectrum of presentation varying from incidental detection to recurrent episodes of benign abdominal pain to frank gastrointestinal obstruction, mid-gut volvulus, and bowel gangrene. Herein, we report the first case of congenital intestinal malrotation leading to gastric deserosalization. Intraoperative findings were conspicuous by the presence of midgut volvulus and gastric perforation in the posterior wall. There are a few more dimensions uncovered by this case, a brief reference to each has been considered necessary.
先天性肠旋转不良有多种表现形式,从偶然发现到反复出现的良性腹痛,再到明显的胃肠道梗阻、中肠扭转和肠坏疽。在此,我们报告首例导致胃浆膜剥脱的先天性肠旋转不良病例。术中发现中肠扭转和胃后壁穿孔十分明显。该病例还揭示了一些其他方面的情况,有必要对每一方面作简要提及。