Pracros J P, Basset T, Morin de Finfe C H, Louis D, Tran-Minh V A
Service de radiologie, Hôpital Debrousse, Lyon, France.
Pediatrie. 1988;43(6):525-9.
Six neonates with midgut malrotation and volvulus were explored with ultrasonography before surgery. In each case, ultrasound detected an abnormal position of the superior mesenteric vein with regard to the superior mesenteric artery, indicating a midgut malrotation. In 4 patients, a propeller-like image was present around the superior mesenteric axis, demonstrating an associated volvulus. In 2 patients, there was a tumor-like presentation of the volvulated small intestine. Compared to the intestinal opacification, ultrasound seems to be a simple and rapid method to explore the neonate with vomiting or acute abdomen.
对6例患有中肠旋转不良和肠扭转的新生儿在手术前进行了超声检查。在每例病例中，超声均检测到肠系膜上静脉相对于肠系膜上动脉的位置异常，提示中肠旋转不良。4例患者在肠系膜上轴周围出现螺旋桨样图像，表明存在相关的肠扭转。2例患者出现扭转小肠的肿瘤样表现。与肠道造影相比，超声似乎是一种用于检查呕吐或急腹症新生儿的简单快速的方法。
