Iuchtman M, Golan Y, Heldenberg D, Kessler F B
Department of Surgery A (Pediatric Surgery), Hillel Yaffe Medical Center, Hadera, Israel.
Am J Perinatol. 1993 May;10(3):255-7. doi: 10.1055/s-2007-994732.
Persistent bile-stained vomiting in a neonate led to a radiologic workup that revealed the existence of a situs inversus and a partial duodenal obstruction. A duodenal diaphragm with a central aperture was diagnosed. Surgery confirmed the preoperative diagnosis. In addition, an annular pancreas with an anterior gap and a right parietocolic internal hernia containing all the small bowel were discovered. Embryologic aspects, therapeutic options, and the literature were discussed.
一名新生儿持续胆汁性呕吐,经影像学检查发现存在内脏反位和部分十二指肠梗阻。诊断为具有中央孔的十二指肠隔膜。手术证实了术前诊断。此外,还发现了一个具有前方间隙的环状胰腺和一个包含所有小肠的右结肠旁内疝。讨论了胚胎学方面、治疗选择及相关文献。