Filston H C, Kirks D R
J Pediatr Surg. 1981 Aug;16(4 Suppl 1):614-20. doi: 10.1016/0022-3468(81)90015-4.
Although anomalies of rotation and fixation of the gastrointestinal tract are recognized to be associated frequently with anomalies of the abdominal wall and diaphragmatic hernia, the frequency with which these common anomalies are associated with other congenital and acquired lesions of the gastrointestinal tract has not been sufficiently emphasized. Sixty-two percent of our series of 34 patients were associated with such lesions as upper gastrointestinal atresias and stenoses, intussusception, and Hirschsprung's disease. The embryologic and anatomic features of rotational anomalies, their clinical presentation, and radiologic features are presented with the suggestion that knowledge of this information, along with the appreciation of the frequent association of malrotation with other common congenital and acquired abnormalities, will help to prevent the devastating morbidity and mortality of undiagnosed midgut volvulus.
尽管胃肠道旋转和固定异常被认为常与腹壁异常和膈疝相关，但这些常见异常与胃肠道其他先天性和后天性病变相关的频率尚未得到充分强调。在我们的34例患者系列中，62%与诸如上消化道闭锁和狭窄、肠套叠以及先天性巨结肠等病变相关。本文介绍了旋转异常的胚胎学和解剖学特征、临床表现及放射学特征，并提出了解这些信息，以及认识到旋转不良与其他常见先天性和后天性异常的频繁关联，将有助于预防未诊断的中肠扭转所带来的严重发病率和死亡率。
