Balén E M, Hernández-Lizoáin J L, Pardo F, Longo J M, Cienfuegos J A, Alzina V
Department of Surgery, University of Navarra, Pamplona, Spain.
J Pediatr Surg. 1993 Dec;28(12):1586-8. doi: 10.1016/0022-3468(93)90107-v.
A 7-week-old child presented to the pediatrician after persistent vomiting and abdominal distension developed. Intestinal dilatation had been detected in utero. Emergency ultrasonography showed only small bowel dilatation. There were no signs of intestinal obstruction; however, complete intestinal malrotation was demonstrated by an upper gastrointestinal series and barium enema. Intestinal duplication was also suspected, and emergency laparotomy was performed. A 70-cm-long jejunoileal duplication was found and successfully dissected free from the normal small bowel and excised without intestinal resection-anastomosis. The authors describe this unique case and the surgical technique for the treatment of small bowel duplications.
一名7周大的儿童在出现持续呕吐和腹胀后被送往儿科医生处。子宫内已检测到肠道扩张。急诊超声检查仅显示小肠扩张。没有肠梗阻的迹象；然而，上消化道造影和钡灌肠显示存在完全性肠旋转不良。还怀疑有肠重复畸形，于是进行了急诊剖腹手术。发现了一段70厘米长的空肠回肠重复畸形，并成功地将其与正常小肠游离，在未进行肠切除吻合的情况下切除。作者描述了这个独特的病例以及治疗小肠重复畸形的手术技术。
