超声检查发现的与急性胃扩张相关的胎儿原发性小肠扭转
Fetal Primary Small Bowel Volvulus Associated with Acute Gastric Dilatation Detected by Ultrasonography.
作者信息
Fukushima Sachiyo, Fujioka Kazumichi, Ashina Mariko, Ohyama Shohei, Ikuta Toshihiko, Nishida Kosuke, Miyauchi Harunori, Okata Yuichi, Bitoh Yuko, Tanimura Kenji, Deguchi Masashi, Yamada Hideto, Iijima Kazumoto
机构信息
Department of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Department of Pediatric Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
出版信息
Kobe J Med Sci. 2019 Jan 11;64(4):E157-E159.
Fetal intestinal volvulus is a rare condition, and fetal diagnosis of this disease is still challenging, especially in primary cases not accompanied by other comorbidities, such as intestinal malformations. Herein, we report a case of fetal primary small bowel volvulus associated with acute gastric dilatation detected by ultrasonography. We speculate that the mechanism of acute gastric dilatation in our case was peristatic malfunction of the whole intestine caused by a strangulated ileus resulting from fetal intestinal volvulus. In conclusion, acute gastric dilatation detected by fetal ultrasound can indicate the fetal intestinal volvulus.
胎儿肠扭转是一种罕见的病症，对该疾病进行胎儿期诊断仍具有挑战性，尤其是在未伴有其他合并症（如肠道畸形）的原发性病例中。在此，我们报告一例经超声检查发现的与急性胃扩张相关的胎儿原发性小肠扭转病例。我们推测，本例中急性胃扩张的机制是胎儿肠扭转导致绞窄性肠梗阻，进而引起整个肠道的蠕动功能障碍。总之，胎儿超声检查发现的急性胃扩张可能提示胎儿肠扭转。
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