Waldschmidt J
Monatsschr Kinderheilkd. 1983 Apr;131(4):222-7.
Intraabdominal bands of the vitelline vessels and vitelline duct are discovered as a congenital disturbance any time in life. In more than 75% they cause an acute abdominal disease. In this paper we discuss the cause and the clinical picture in 19 children seen in our department together with 83 cases from the literature. In 70% of the cases we find remnants of the right and left vitelline artery, in a third remnants of the vitelline vein and vitelline duct. The characteristic course is the acute strangulation of the intestine with gangrene of the bowel and endotoxine shock. The best treatment in every case is the operation as soon as possible.
卵黄管和卵黄血管的腹腔内束带在生命中的任何时候都可作为一种先天性病变被发现。超过75%的此类病变会引发急性腹部疾病。在本文中,我们讨论了在我们科室就诊的19例患儿以及文献报道的83例病例的病因和临床表现。70%的病例中可发现左右卵黄动脉的残余,三分之一的病例中有卵黄静脉和卵黄管的残余。其典型病程为肠管急性绞窄伴肠坏疽和内毒素休克。每种情况下的最佳治疗方法都是尽快进行手术。